The Effect of Sono-Guided Interscalene Brachial Plexus Block Combined With Arthroscopy-Guided Suprascapular Nerve Block in Arthroscopic Rotator Cuff Repair: A Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Ultrasound-guided ISB
- Conditions
- Rotator Cuff Injury
- Sponsor
- Chuncheon Sacred Heart Hospital
- Enrollment
- 52
- Primary Endpoint
- Visual Analog Scale (VAS) Pain Score
- Status
- Completed
- Last Updated
- 5 years ago
Overview
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.
Investigators
Jung-Taek Hwang
Assistant Professor
Chuncheon Sacred Heart Hospital
Eligibility Criteria
Inclusion Criteria
- •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.
Exclusion Criteria
- •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
Arms & Interventions
ISB with 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.
Intervention: Ultrasound-guided ISB
ISB with 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.
Intervention: Arthroscopy-guided SSNB
ISB with 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.
Intervention: Placebo
ISB with 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.
Intervention: Ropivacaine
ISB alone
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.
Intervention: Ultrasound-guided ISB
ISB alone
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.
Intervention: Placebo
Outcomes
Primary Outcomes
Visual Analog Scale (VAS) Pain Score
Time Frame: 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 Outcomes
- Patient Satisfaction (SAT) Score(1, 3, 6, 12, 18, 24, 36, 48h)