Ultrasound-guided Interscalene Brachial Plexus Block: Single Bolus Injection Versus Continuous Catheter Placement in Arthroscopic Rotator Cuff Repair-a Prospective Randomized Unblinded Trial
Overview
- Phase
- Not Applicable
- Status
- Active, not recruiting
- Sponsor
- University of Foggia
- Enrollment
- 80
- Locations
- 1
- Primary Endpoint
- Pain severity
Overview
Brief Summary
Shoulder arthroscopy is a minimally invasive procedure frequently used for rotator cuff repair. Patients may experience severe postoperative (PO) pain, that can last for a month and can influence successful rehabilitation. Our study aimes to evaluate the effectiveness of interscalene brachial plexus single-shot (ISBSS) versus continuous interscalene brachial plexus block (ISBC) in controlling perioperative pain and avoiding PO pain chronicization. This prospective randomized unblinded trial hypothesizes that the PO perineuronal infusion using a continuous ambulatory delivery device pump gives better pain control and outcomes than ISBSS during the long-term follow-up period.
Detailed Description
Blocks will be performed under ultrasound guidance with 15 - 20 mL of 0.75 % ropivacaine.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •American Society of Anesthesia (ASA) physical status of 1 to 2,
- •Body Mass Index (BMI) of less than 30 kg/m²,
- •paitents undergoing shoulder arthroscopy for small to medium rotator cuff tears.
Exclusion Criteria
- •skin infection on the puncture site,
- •coagulopathy
- •brachial plexus neuropathy
- •alcohol or drug abuse
- •severe lung disease
- •history of allergy to one or more study drugs.
Outcomes
Primary Outcomes
Pain severity
Time Frame: 24 hour, 48 hour, 72 hour, 7 day
Tha pain severity will be evaluated by NRS scale
Secondary Outcomes
No secondary outcomes reported
Investigators
Cotoia Antonella
Doctor
University of Foggia