Health Condition 1: null- healthy patients with ASA grade 1-2
Conditions
Interventions
Intervention1: group 1: ultrasound guided interscalene block with .5 % ropivacaine 20 ml containing dexamethasone ( 8 mg ) to a total of 22 ml
Control Intervention1: group 2: ultrasound guided intersc
Sponsors
Government Medical College and Hospital
Eligibility
Inclusion criteria
Inclusion criteria: 1. ASA status 1-2 2. BMI - 18-30 kg/m2 3. Shoulder surgery such as rotator cuff repair, recurrent shoulder dislocations, acromioplasty, hemiarthroplasty and total shoulder replacement.
Exclusion criteria
Exclusion criteria: 1. patient refusing to give informed consent 2. history of relevant drug allergy 3. history of psychiatric illness, substance abuse 4. severe cardiovascular, respiratory, metabolic or neurologic disease 5. pregnancy and lactation 6. coagulopathy 7. contralateral phrenic nerve dysfunction 8. infection at planned injection site 9.patients receiving alpha 2 agonists for hypertensive disorders 10.patients on steroids
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| duration of post-operative analgesia as measured ( in minutes ) by the time from the achievement of adequate sensory block till the first use of fentanyl bolus by PCATimepoint: o hour- time at which adequate sensory block is achieved To time till the patient takes first dose of rescue analgesic( in 24 hours ) | — |
Secondary
| Measure | Time frame |
|---|---|
| pain ratings over 24 hours on 0-100 VAS , total post-operative analgesic consumption, patient satisfaction and adverse effects.Timepoint: 2 hourly monitoring after 4 hours of nerve block upto 24 hours . | — |
Countries
India
Contacts
Public ContactDr Sukanya Mitra
Government Medical College and Hospital, Sector 32, Chandigarh.
Outcome results
None listed