Phase 4 Study of Comparison of Postoperative Analgesic Effect of Intra-articular Dexamethasone and Dexamethasone Added to Bupivacaine in Interscalene Brachial Plexus Blockade for Arthroscopic Shoulder Surgery
Trial Snapshot
- Phase
- Phase 4
- Status
- Completed
- Sponsor
- TC Erciyes University
- Enrollment
- 75
- Locations
- 1
- Primary Endpoint
- analgesic consumption
Study Overview
Brief Summary
the aim of this study was to investigate the analgesic efficacy of intra articular dexamethasone administration for arthroscopic shoulder surgery.
Detailed Description
shoulder surgery can be very painful and interscalene brachial plexus block is the gold standard in the management of acute pain after shoulder surgery. various local anaesthetic mixtures can be used to prolong local anaesthesia duration and epinephrine , opioids and dexamethasone are frequently used for this purpose. dexamethasone has also been found the prolong the duration of lidocaine axillary blocks and intravenous regional anaesthesia. intraarticular administration of medicines can be used for management of joint pain and opioids , local anaesthetics and dexamethasone are used for this purpose.In addition, there are no studies available to compare the different treatment methods used in clinical practice directly.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •between 18-65 years
- •arthroscopic shoulder surgery
- •no known allergies to drugs
- •ASA 1-2 patients
Exclusion Criteria
- •history of diabetes
- •history of chronic pain treatment
- •pregnancy
- •severe bronchopulmonary disease
- •systemic glucocorticoid use
Arms & Interventions
interscalene dexamethasone
interscalene brachial plexus was preoperative performed 30 ml 0.5 % bupivacaine added 2 ml 8mg dexamethasone and after surgery 10 ml serum phsyologic administration for intraarticular
Intervention: interscalene dexamethasone (Procedure)
serum phsyologic
interscalene brachial plexus block was preoperative performed 30 ml 0.5 % bupivacaine+ 2ml serum phsyologic and after surgery 10 ml serum phsyologic administration for intraarticular
Intervention: serum phsyologic (Procedure)
intraarticular dexamethasone
interscalene brachial plexus block was preoperative performed 30 ml 0.5 % bupivacaine+ 2 ml serum phsyologic and after surgery 2 ml 8 mg dexamethasone+ 8 ml serum phsyologic administration for intraarticular
Intervention: intraarticular dexamethasone (Procedure)
Outcomes
Primary Outcomes
analgesic consumption
Time Frame: postoperative 1 day
morphine consumption (patient controlled analgesia procedure) was recorded
Secondary Outcomes
- visual analog scale(postoperative 1 day)
Investigators
Fatih Mehmet Kurt
resident
TC Erciyes University