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Effectiveness of Interscalene Brachial Plexus Block and Intra-articular Injection of Ropivacaine for Post-operative Analgesia in Arthroscopic Shoulder Stabilization Surgery

Primary Purpose

Postoperative Analgesia

Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Interscalene brachial plexus block
Intra-articular Ropivacaine injection
Ultrasound guided technique
Ropivacaine
Ropivacaine
Sponsored by
NHS Grampian
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Postoperative Analgesia

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

• All adult patients above the age of 18 years undergoing arthroscopic shoulder stabilisation operation

Exclusion Criteria:

  • Patients not meeting inclusion criteria
  • Patients unable to give informed consent
  • Patient refusal to participate in the study
  • Contraindications to Interscalene block
  • Allergy to local anaesthetics
  • Peripheral neuropathy from any cause
  • Patients on opiates for chronic pain
  • Pregnant women

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Experimental

    Arm Label

    Interscalene brachial plexus block

    Intra-articular injection

    Arm Description

    Outcomes

    Primary Outcome Measures

    Mean pain score over the first 24 hours following arthroscopic shoulder stabilisation operation

    Secondary Outcome Measures

    Post-operative analgesic requirements in the first 24 hours after surgery
    Patient assessment of quality of analgesia and identifying any complications as a result of the two anaesthetic procedures

    Full Information

    First Posted
    April 29, 2012
    Last Updated
    April 30, 2012
    Sponsor
    NHS Grampian
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01589354
    Brief Title
    Effectiveness of Interscalene Brachial Plexus Block and Intra-articular Injection of Ropivacaine for Post-operative Analgesia in Arthroscopic Shoulder Stabilization Surgery
    Official Title
    Effectiveness of Interscalene Brachial Plexus Block and Intra-articular Injection of Ropivacaine for Post-operative Analgesia in Arthroscopic Shoulder Stabilization Surgery
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2012
    Overall Recruitment Status
    Unknown status
    Study Start Date
    May 2012 (undefined)
    Primary Completion Date
    May 2014 (Anticipated)
    Study Completion Date
    May 2014 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    NHS Grampian

    4. Oversight

    Data Monitoring Committee
    No

    5. 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.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Postoperative Analgesia

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    60 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Interscalene brachial plexus block
    Arm Type
    Experimental
    Arm Title
    Intra-articular injection
    Arm Type
    Experimental
    Intervention Type
    Procedure
    Intervention Name(s)
    Interscalene brachial plexus block
    Intervention Description
    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.
    Intervention Type
    Procedure
    Intervention Name(s)
    Intra-articular Ropivacaine injection
    Intervention Description
    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
    Intervention Type
    Device
    Intervention Name(s)
    Ultrasound guided technique
    Intervention Description
    The block will be performed under U/S guidance
    Intervention Type
    Drug
    Intervention Name(s)
    Ropivacaine
    Intervention Description
    20ml of 0.375% Ropivacaine
    Intervention Type
    Drug
    Intervention Name(s)
    Ropivacaine
    Intervention Description
    20ml of 0.75% Ropivacaine injected by the surgeon at the end of the procedure
    Primary Outcome Measure Information:
    Title
    Mean pain score over the first 24 hours following arthroscopic shoulder stabilisation operation
    Time Frame
    24 months
    Secondary Outcome Measure Information:
    Title
    Post-operative analgesic requirements in the first 24 hours after surgery
    Time Frame
    24 months
    Title
    Patient assessment of quality of analgesia and identifying any complications as a result of the two anaesthetic procedures
    Time Frame
    24 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: • All adult patients above the age of 18 years undergoing arthroscopic shoulder stabilisation operation Exclusion Criteria: Patients not meeting inclusion criteria Patients unable to give informed consent Patient refusal to participate in the study Contraindications to Interscalene block Allergy to local anaesthetics Peripheral neuropathy from any cause Patients on opiates for chronic pain Pregnant women
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Amr M Mahdy, MD
    Organizational Affiliation
    NHS Grampian
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    Effectiveness of Interscalene Brachial Plexus Block and Intra-articular Injection of Ropivacaine for Post-operative Analgesia in Arthroscopic Shoulder Stabilization Surgery

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