Interscalene Brachial Plexus Block Combined With Suprascapular Nerve Block
- Conditions
- Rotator Cuff Injury
- Interventions
- Registration Number
- NCT02424630
- Lead Sponsor
- Chuncheon Sacred Heart Hospital
- Brief Summary
The investigators compared the results of sono-guided interscalene brachial plexus block (ISB) combined with arthroscopy-guided suprascapular nerve block (SSNB) with those of ISB alone within the first 48 h after arthroscopic rotator cuff repair.
- Detailed Description
Forty-eight patients with rotator cuff tears who had undergone arthroscopic rotator cuff repair were enrolled. The 24 patients randomly allocated to group 1 received ISB and SSNB; the remaining 24 patients in group 2 underwent ISB alone. VAS pain score, patient's satisfaction (SAT) were checked postoperative 1, 3, 6, 12, 18, 24, 36, and 48 hours. VAS pain score was selected from 0 to 10 was no pain and 10 was severe pain that the patient had ever experienced. SAT was also selected from 0 to 10 was unsatisfactory and 10 was very satisfactory. Rebound of postoperative pain was confirmed if there had been an increase of VAS pain score after postoperative 1 hour.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 52
- definite rotator cuff tear on preoperative MRI, which needed repair;
- acceptance of arthroscopic surgery including rotator cuff repair;
- > 20 years old; and
- acceptance of routine regional blocks and patient-controlled analgesia.
- did not want arthroscopic rotator cuff repair;
- stopped PCA before 48 h postoperatively due to side effects;
- history of shoulder operation or fracture;
- concomitant neurological disorder around the shoulder;
- conversion to open surgery from the arthroscopy; and
- contraindication to the routine regional blocks in this study
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description ISB alone Ultrasound-guided ISB During arthroscopic rotator cuff repair, ultrasound-guided ISB was performed preemptively with 7.5 mL ropivacaine immediately after general anesthesia was induced. And at the end of surgery, arthroscopy-guided SSNB was performed with 10 mL normal saline. ISB with SSNB Arthroscopy-guided SSNB During arthroscopic rotator cuff repair, ultrasound-guided ISB was performed preemptively with 7.5 mL ropivacaine immediately after general anesthesia was induced. And at the end of surgery, arthroscopy-guided SSNB was performed with 10 mL ropivacaine. ISB with SSNB Ultrasound-guided ISB During arthroscopic rotator cuff repair, ultrasound-guided ISB was performed preemptively with 7.5 mL ropivacaine immediately after general anesthesia was induced. And at the end of surgery, arthroscopy-guided SSNB was performed with 10 mL ropivacaine. ISB with SSNB Placebo During arthroscopic rotator cuff repair, ultrasound-guided ISB was performed preemptively with 7.5 mL ropivacaine immediately after general anesthesia was induced. And at the end of surgery, arthroscopy-guided SSNB was performed with 10 mL ropivacaine. ISB alone Placebo During arthroscopic rotator cuff repair, ultrasound-guided ISB was performed preemptively with 7.5 mL ropivacaine immediately after general anesthesia was induced. And at the end of surgery, arthroscopy-guided SSNB was performed with 10 mL normal saline. ISB with SSNB Ropivacaine During arthroscopic rotator cuff repair, ultrasound-guided ISB was performed preemptively with 7.5 mL ropivacaine immediately after general anesthesia was induced. And at the end of surgery, arthroscopy-guided SSNB was performed with 10 mL ropivacaine.
- Primary Outcome Measures
Name Time Method Visual Analog Scale (VAS) Pain Score 1, 3, 6, 12, 18, 24, 36, 48h The VAS pain score was based on a scale from 0 to 10, where 0 indicated no pain and 10 indicated severe pain
- Secondary Outcome Measures
Name Time Method Patient Satisfaction (SAT) Score 1, 3, 6, 12, 18, 24, 36, 48h The SAT score was also from 0 to 10, where 0 indicated unsatisfactory and 10 indicated very satisfactory.