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Prospective randomaized study of interscalene brachial plexus block using 0.5% bupivacaine Hcl with or without dexamethasone in shoulder surgery

Not Applicable
Conditions
Surgery
shoulder surgery
Anaesthesia
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
NameTimeMethod
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
NameTimeMethod
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.
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