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We performed a prospective randomized study to investigate the effect of the volume of local anesthetic on phrenic nerve paralysis during interscalene brachial plexus block. The assessment of phrenic nerve paralysis was evaluated with diaphragmatic ultrasound on changes of thickness of the diaphragm.

Not Applicable
Recruiting
Conditions
Diseases of the musculo-skeletal system and connective tissue
Registration Number
KCT0005575
Lead Sponsor
Hallym University
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
52
Inclusion Criteria

Patients undergoing elective arthroscopic shoulder surgery for rotator cuff tear, biceps tendinosis and Bankart lesion, and Brisement manipulation for frozen shoulder.

Exclusion Criteria

Exclusion criteria included an existing severe respiratory disease, pregnancy, a history of allergy to local anesthetics and refusal to participate in the study.

Study & Design

Study Type
Interventional Study
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Thickening fraction which defined the percentage of change in thickness between end-expiration and peak-inspiration is calculated as following formula; (thickness at peak-inspiration – thickness at end-expiration / thickness at end-expiration) ×100.
Secondary Outcome Measures
NameTimeMethod
The worst oxygen saturation;Resting pain is measured by an 11-point numerical rating scale and scored as follows: 0 = no pain and 10 = the worst pain;Handgrip strength is measured by asking the patient to make a fist and squeeze the examiner’s fingers and graded as follows: 0 = complete loss of power, 1 = weakness, and 2 = normal.
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