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Comparison of Pulmonary Function and Efficacy of Different Nerve Block Catheters for Shoulder Surgery

Not Applicable
Completed
Conditions
Post-Operative Pain
Interventions
Procedure: Continuous Nerve Block
Registration Number
NCT02117778
Lead Sponsor
Benaroya Research Institute
Brief Summary

This study is designed to evaluate lung function and pain control of continuous supraclavicular versus suprascapular versus interscalene nerve catheters in subjects undergoing total shoulder replacement. The investigators hypothesize that all three groups would have similar pain control; the supraclavicular and suprascapular groups may have better lung function.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
75
Inclusion Criteria
  • Unilateral total shoulder arthroplasty
  • ASA physical status I-III
  • >18 years old
  • Non-pregnant (or lactating)
  • Consent to participate in the study
Exclusion Criteria
  • Refusal to participate
  • < 18 years old
  • Chronic opioid use
  • Localized infection
  • Pregnancy or lactating
  • Pre-existing coagulopathy
  • Allergy to ultrasound gel or local anesthetics
  • Diaphragmatic dysfunction

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
SupraclavicularContinuous Nerve BlockContinuous Supraclavicular Nerve Block
InterscaleneContinuous Nerve BlockContinuous Interscalene Nerve Block
SuprascapularContinuous Nerve BlockContinuous Suprascapular Nerve Block
Primary Outcome Measures
NameTimeMethod
Lung functionPost-Operative Day 1

Vital Capacity, Spirometry

Secondary Outcome Measures
NameTimeMethod
Opioid ConsumptionPost Operative Day 1

Total opioid consumption x 24 hours

PainPost Operative Day 1

NRS Pain Scale

Sensory and Motor FunctionPost Operative Day 1

Sensory Dermatome assessment C4 - C8 to touch; Motor assessment of grip and biceps with dynometer

Trial Locations

Locations (1)

Virginia Mason Medical Center

🇺🇸

Seattle, Washington, United States

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