Effect of Ultrasound-guided Suprascapular Nerve Block and Axillary Nerve Block in Relieving Postoperative Pain After Arthroscopic Rotator Cuff Repair
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Rotator Cuff Tears
- Sponsor
- Chuncheon Sacred Heart Hospital
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- visual analog pain scale (VAS)
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
The goal of this clinical trial is to verify the effect of suprascapular nerve block and axillary nerve block in relieving postoperative pain after arthroscopic rotator cuff repair.
Are there differences in visual analog pain scale and patient's satisfaction? Are there differences in mean plasma pain related cytokines? The participants will undergo preemptive ultrasound guided suprascapular nerve block and axillary nerve block using each 0.75% ropivacaine 10mL or each 0.9% saline 10mL.
Investigators
Jung-Taek Hwang
Professor
Chuncheon Sacred Heart Hospital
Eligibility Criteria
Inclusion Criteria
- •a definite rotator cuff tear that needed repair seen on preoperative magnetic resonancce imaging (MRI)
- •acceptance of arthroscopic surgery including rotator cuff repair
- •age same as or more than 20 years
- •acceptance of preemptive regional block and PCA, and blood testing
Exclusion Criteria
- •did not undergo arthroscopic rotator cuff repair
- •stopped PCA before 48 hours postoperatively because of associated side effects
- •a history of previous ipsilateral shoulder operation or fracture
- •a concomitant neurologic disorder around the shoulder
- •a failure of blood sampling including hemolysis, etc.
Outcomes
Primary Outcomes
visual analog pain scale (VAS)
Time Frame: preoperative, postoperative 1, 3, 6, 12, 18, 24, 36, 48 hour(s)
0-10, 0: no pain, 10: very severe pain
Secondary Outcomes
- Substance P(preoperative, postoperative 1, 6, 12, 24, 48 hour(s))
- β -endorphin(preoperative, postoperative 1, 6, 12, 24, 48 hour(s))
- Patient's satisfaction (SAT)(preoperative, postoperative 1, 3, 6, 12, 18, 24, 36, 48 hour(s))
- plasma Cortisol(preoperative, postoperative 1, 6, 12, 24, 48 hour(s))
- IL-1β(preoperative, postoperative 1, 6, 12, 24, 48 hour(s))
- Serotonin(preoperative, postoperative 1, 6, 12, 24, 48 hour(s))
- norepinephrine(preoperative, postoperative 1, 6, 12, 24, 48 hour(s))
- IL-6(preoperative, postoperative 1, 6, 12, 24, 48 hour(s))
- IL-8(preoperative, postoperative 1, 6, 12, 24, 48 hour(s))