Diaphragmatic Paralysis in Arthroscopic Shoulder Surgery: Consequences and Causes
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Clinique Medipole Garonne
- Enrollment
- 82
- Locations
- 1
- Primary Endpoint
- Failure of outpatient arthroscopic shoulder surgery strategy
Study Overview
Brief Summary
This study aims to assess consequences and causes of hemidiaphragmatic paralysis for ambulatory arthroscopic shoulder surgery in patients with BMI ≥ 30 kg/m².
Detailed Description
This prospective observational study will screen patients with body mass index (BMI) ≥30 kg/m² undergoing acromioplasty or supraspinatus tendon repair. Occurrence of post-operative hemidiaphragmatic paralysis will be observed using M-mode ultrasonography and its consequences on patient ventilation: arterial oxygen saturation, dyspnea, success of ambulatory procedure. Causes of diaphragmatic paralysis will be analyzed.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 18 Years to 99 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •All patients with body mass index ≥ 30kg/m², undergoing ambulatory arthroscopic shoulder surgery (acromioplasty and supraspinatus tendon repair) will be screened.
Exclusion Criteria
- •age <18 years, brachial plexus neuropathies, severe bronchopulmonary disease, acute respiratory distress, coagulopathies, systemic glucocorticoid use, pregnancy, routine use of opioid medications, intolerance for one or more medications of the study protocol and diabetes.
Outcomes
Primary Outcomes
Failure of outpatient arthroscopic shoulder surgery strategy
Time Frame: the first 6 hours
failure of outpatient arthroscopic shoulder surgery strategy is communly associated with dyspnea or hypoxia due to diaphragmatic paralysis
Secondary Outcomes
- Assessment of peripheral nerve block strategy associated with diaphragmatic paralysis(the first 2 hours)
Investigators
Dr Marty Philippe
Dr Anesthesiologist
Clinique Medipole Garonne