Morphine and/or Nalbuphine as Adjuvants in Ultrasound Guided Interscalene Block: for Shoulder Surgeries
Rotator Cuff Tear
About this trial
This is an interventional prevention trial for Rotator Cuff Tear focused on measuring morphine, nalbuphine, arthroscopic rotator cuff repair, ultrasound guided interscalene block
Eligibility Criteria
Inclusion Criteria:
- Patients scheduled for arthroscopic repair of rotator cuff muscle tear of the shoulder.
- ASA physical status I - Ш.
Exclusion Criteria:
- Infection at the site of injection.
- Coagulopathy or other bleeding diathesis.
- Known allergy to drugs in the study
- Preexisting neurologic deficits in the area to be blocked.
- Inability to communicate with the investigator and the hospital staff.
- History of chronic opioid use.
- Morbid obesity BMI>40.
Sites / Locations
- Assiut University HospitalsRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Placebo Comparator
Morphine
Nalbuphine
Morphine and Nalbuphine
Bupivacaine 0.5%
5 mg morphine in 5ml volume injected as adjuvants to 10 ml of lidocaine and epinephrine 1:400,000.
5 mg nalbuphine in 5ml volume injected as adjuvants to 10 ml of lidocaine and epinephrine 1:400,000.
5 mg morphine and 5 mg nalbuphine in 5 ml volume are injected as adjuvants to 10 ml of lidocaine and epinephrine 1:400,000. combination of 5 mg morphine and 5 mg nalbuphine in 5 ml volume are injected perineurally as adjuvants for 10 ml of lidocaine + epinephrine 1:400,000 in ultrasound guided interscalene block
10 ml of lidocaine 1% and epinephrine 1:400,000 and 5 ml of Bupivacaine 0.5% in interscalene block.