Effectiveness of Interscalene Brachial Plexus Block and Intra-articular Injection of Ropivacaine for Post-operative Analgesia in Arthroscopic Shoulder Stabilization Surgery
Study Details
Study Description
Brief Summary
This study evaluates two anaesthetic techniques namely interscalene brachial plexus block and intra-articular local anaesthetic injection. Both techniques are currently used for providing postoperative pain relief following arthroscopic shoulder stabilisation operation. It will be a randomised controlled trial involving 30 patients in two groups.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Interscalene brachial plexus block
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Procedure: Interscalene brachial plexus block
An interscalene block will be performed pre-operatively using ultrasound guidance and the peripheral nerve stimulator (with the patient awake) using 20 ml of 0.375% Ropivacaine.
Device: Ultrasound guided technique
The block will be performed under U/S guidance
Drug: Ropivacaine
20ml of 0.375% Ropivacaine
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Experimental: Intra-articular injection
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Procedure: Intra-articular Ropivacaine injection
The procedure will be done by the surgeon at the end of the operation, with an intra-articular injection of 20 ml 0.75% Ropivacaine through the arthroscopic cannula after closure of the anterior wound
Drug: Ropivacaine
20ml of 0.75% Ropivacaine injected by the surgeon at the end of the procedure
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Outcome Measures
Primary Outcome Measures
- Mean pain score over the first 24 hours following arthroscopic shoulder stabilisation operation [24 months]
Secondary Outcome Measures
- Post-operative analgesic requirements in the first 24 hours after surgery [24 months]
- Patient assessment of quality of analgesia and identifying any complications as a result of the two anaesthetic procedures [24 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
• All adult patients above the age of 18 years undergoing arthroscopic shoulder stabilisation operation
Exclusion Criteria:
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Patients not meeting inclusion criteria
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Patients unable to give informed consent
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Patient refusal to participate in the study
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Contraindications to Interscalene block
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Allergy to local anaesthetics
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Peripheral neuropathy from any cause
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Patients on opiates for chronic pain
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Pregnant women
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- NHS Grampian
Investigators
- Principal Investigator: Amr M Mahdy, MD, NHS Grampian
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 10/S0801/74