Prospective randomaized study of interscalene brachial plexus block using 0.5% bupivacaine Hcl with or without dexamethasone in shoulder surgery
Not Applicable
- Conditions
- Surgeryshoulder surgeryAnaesthesia
- Registration Number
- PACTR201611001848252
- Lead Sponsor
- alexandria university
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Complete
- Sex
- All
- Target Recruitment
- 75
Inclusion Criteria
age ¿18 and ¿ 70 yr,
ASA I¿II,
BMI < 35
Exclusion Criteria
patient refusal
contraindication to interscalene block (severe chronic obstructive pulmonary disease, infection, coagulopathy, contralateral diaphragmatic paralysis)
pregnancy
neuropathy of the surgical limb
recent (less than six months) use of glucocorticoids for at least two weeks
chronic pain requiring daily use of opioid medication (greater than 30 mg/day of oral oxycodone equivalent).
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method 1. To determine the duration of analgesia (time to first analgesic request) after interscalene blocks when dexamethasone is added to bupivacaine for patients undergoing painful shoulder surgeries 2. To evaluate any difference in postoperative pain scores after interscalene block due to adding dexamethasone.
- Secondary Outcome Measures
Name Time Method 1. To evaluate the effect of low volume of bupivcaine versus high volume adding on postoperative pain. 2. To determine any increase in incidence of complications of interscalene blocks due to high versus low volume of bupivcaine and with adding dexamethasone.