Incidence Of Hemidiaphragmatic Paralysis With Patient Controlled Infusion Of Low Volume Of Ropivacaine After Usg Guided Low Dose Interscalene Brachial Plexus Block
Overview
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Post Graduate Institute of Medical Education and Research, Chandigarh
- Enrollment
- 56
- Locations
- 1
- Primary Endpoint
- incidence of hemidiaphragmatic paralysis
Overview
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 Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Diagnostic
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
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
Arms & Interventions
block
will be given block and continuous infusion with bolus 10ml of 0.5% ropivacaine followed by infusion @ 2ml/hr of 0.2% ropivacaine
Intervention: Interscalene Block with Ropivacaine Hcl 0.2% Inj Vil 10Ml (Device)
control
IV analgesia only with diclofenac and paracetamol
Intervention: IV diclofenac and IV paracetamol (Drug)
Outcomes
Primary Outcomes
incidence of hemidiaphragmatic paralysis
Time Frame: 24 hours
incidence of hemidiaphragmatic paralysis by M mode USG to be seen
Secondary Outcomes
- postoperative pain(24 hours)
Investigators
Dr. Pankaj
Junior resident, Department of Anaesthesia and Intensive Care, MD
Post Graduate Institute of Medical Education and Research, Chandigarh