Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Interscalene block (ISB): receive ISB nerve block with 15 ml of 0.5% ropivacaine with 1 in 2 lakh adrenaline. The block will given before start of shoulder manipulation and effect will
Sponsors
AIIMS
Eligibility
Inclusion criteria
Inclusion criteria: 1. ASA I to III patients. 2. Age group of 18-70 years. 3. Scheduled for elective unilateral shoulder manipulation procedure.
Exclusion criteria
Exclusion criteria: 1.Patients who refused to participate in the study. 2. Patients with a history of cardiac, renal, or hepatic disease. 3.Patients with pre-existing neurologic deficits or neuropathy affecting the brachial plexus. 4. Patients with contraindications to peripheral nerve block. 5. Patients with known allergy to local anaesthetic drugs.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare total postoperative morphine consumption in 24hrs between patients undergoing ISB and PENG block around shoulder for shoulder manipulation surgeryTimepoint: 24hrs after block | — |
Secondary
| Measure | Time frame |
|---|---|
| • Successful completion of manipulation procedure •Ease of procedure on a Likert Scale of 0-2 •Visual analogue scale (VAS) score for pain ranging from 0 - 10 •Pre & post- block Diaphragmatic excursion •Incidence of motor block (0, 8, 24 hr) •Proportion of patients with moderate to severe pain (VAS more than 4) • Motor blockade after block (total/partial/absent) •Time for initiation of shoulder mobilisation •Degree of Shoulder abduction possible at 24 hrs • Patient satisfaction (0-10) at 24 hrs postoperatively ( vascular puncture, parasthesia, LA toxicity, hoarsness, PONV) Timepoint: time point 0,2,4, 8 and 24 hours after the procedure | — |
Countries
India
Contacts
Public ContactAnju Gupta
AIIMS
Outcome results
None listed