Incidence Of Hemidiaphragmatic Paralysis After Usg Guided Low Dose Interscalene Brachial Plexus Block

Not Applicable

Completed

• Conditions: Respiratory Insufficiency
• Interventions: Drug: IV diclofenac and IV paracetamol; Device: Interscalene Block with Ropivacaine Hcl 0.2% Inj Vil 10Ml

• Registration Number: NCT03081728
• Lead Sponsor: Post Graduate Institute of Medical Education and Research, Chandigarh

Brief Summary

to put a catheter in interscalene brachial plexus USG guided and give a bolus of drug followed by 24 hours continous infusion of drug

Detailed Description

to put a catheter in interscalene brachial plexus USG guided and give a bolus of drug followed by 24 hours continous infusion of drug. To see hemidiaphragmatic paralysis by seeing diaphragmatic excursion on M mode Usg subcostal approach, to see post operative pain, patient satisfaction score, complications if any

Study Timeline

• Study First Submitted: 2017-03-12
• Study First Submitted QC: 2017-03-12
• Study First Posted: 2017-03-16
• Study Start: 2017-04-01
• Primary Completion: 2017-11-16
• Study Completion: 2017-11-16
• Status Verified: 2017-12
• Last Update Submitted: 2017-12-29
• Last Update Posted: 2018-01-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 56

Inclusion Criteria

• Patients aged 18-65 years and belonging to ASA grade I, II, III, undergoing either, shoulder surgery, (rotator cuff repair, acromioplasty, hemiarthroplasty, and total shoulder replacement) or surgery for proximal humerus fracture will be recruited for the study.

Exclusion Criteria

• a) Patient refusal for interscalene block b) Severe respiratory disease (FEV1/FVC <0.7 and FEV1 < 80% of predicted) c) Allergy to amide local anaesthetic drugs d) Chronic opioid therapy e) Patients who cannot understand how to operate PCA and VAS

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
control	IV diclofenac and IV paracetamol	IV analgesia only with diclofenac and paracetamol
block	Interscalene Block with Ropivacaine Hcl 0.2% Inj Vil 10Ml	will be given block and continuous infusion with bolus 10ml of 0.5% ropivacaine followed by infusion @ 2ml/hr of 0.2% ropivacaine

Primary Outcome Measures

Name	Time	Method
incidence of hemidiaphragmatic paralysis	24 hours	incidence of hemidiaphragmatic paralysis by M mode USG to be seen

Secondary Outcome Measures

Name	Time	Method
postoperative pain	24 hours	VAS score will taken

Trial Locations

Locations (1)

PGIMER; 🇮🇳 Chandigarh, India