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Evaluation of Supraclavicular, Suprascapular, and Interscalene Nerve Blocks for Outpatient Shoulder Surgery

Not Applicable
Completed
Conditions
Pain
Shoulder Joint
Pathologic Processes
Pain, Postoperative
Interventions
Procedure: Brachial plexus nerve block
Registration Number
NCT02287142
Lead Sponsor
Benaroya Research Institute
Brief Summary

The aim of this study is to assess analgesic efficacy of a supraclavicular nerve block, suprascapular nerve block, or interscalene nerve block in a population undergoing shoulder arthroscopy with rotator cuff repair. The investigators hypothesize that subjects from all three arms will receive equal analgesia since these blocks are routinely performed to treat post-operative pain after shoulder surgery.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
189
Inclusion Criteria
  • Unilateral total shoulder arthroscopy for rotator cuff surgery ASA physical status I-III, >18 years old, Non-pregnant, Consent to participate in the study
Exclusion Criteria
  • Refusal to participate, < 18 years old, Chronic opioid use, Localized infection, Pregnancy or lactating, Pre-existing coagulopathy, Allergy to ultrasound gel or local anesthetics, Diaphragmatic dysfunction

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
SupraclavicularBrachial plexus nerve blockSingle-shot Supraclavicular Nerve Block with ropivacaine 0.5%
SuprascapularBrachial plexus nerve blockSingle-shot Suprascapular Nerve Block with ropivacaine 0.5%
InterscaleneBrachial plexus nerve blockSingle-shot Interscalene Nerve Block with ropivacaine 0.5%
Primary Outcome Measures
NameTimeMethod
PainSame day, 1 hour after arrival in the post-anesthesia care unit after surgery

NRS Pain Scale

Secondary Outcome Measures
NameTimeMethod
Lung functionSame day, 1 hour after arrival in the post-anesthesia care unit after surgery

Vital Capacity, Spirometry

Sensory and Motor FunctionSame day, 1 hour after arrival in the post-anesthesia care unit after surgery

Sensory Dermatome assessment C4 - C8 to touch; Motor assessment of grip and biceps with dynamometer

Diaphragmatic excursionSame day, 1 hour after arrival in the post-anesthesia care unit after surgery

Ultrasound measuring the diaphragm movement in centimeters (cm)

Trial Locations

Locations (1)

Virginia Mason Medical Center

🇺🇸

Seattle, Washington, United States

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