Shoulder joint disease
Conditions
Interventions
CCB group:Methods of postoperative analgesia
ISB group:Postoperative analgesia via intermuscular sulcus approach of brachial plexus block
Sponsors
The Second Affiliated Hospital of Medical College of Zhejiang University
Eligibility
Sex/Gender
All
Age
18 Years to 60 Years
Inclusion criteria
Inclusion criteria: 1. Aged 18-60 years; 2. ASA class I-II; 3. Patients undergoing elective shoulder arthroscopic surgery agreed to use a continuous nerve block postoperative analgesia pump.
Exclusion criteria
Exclusion criteria: 1. Pregnant or lactating women; 2. Complicated with severe primary diseases such as lung, liver, kidney, cardiovascular system and hematopoietic system; 3. Bleeding Tendency or Coagulopathy; 4. Previous history of collarbone, neck region surgery, nerve injury or neurological disorder; 5. History of allergic reaction to local anesthetics, skin infection at puncture site, or contraindications to concurrent regional block anesthesia; 6. The patients with previous history of nervous and mental system diseases: craniocerebral injury, convulsion, epilepsy, intracranial hypertension, cerebrovascular accident; Or schizophrenia, mania, long-term use of psychotropic drugs, cognitive impairment history, can not read, understand and communicate; 7. Patients with obstructive or restrictive lung disease; 8. Obesity (BMI > 30 kg/m 2).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mean NRS pain score at rest 24 hours after infusion of nerve block analgesia pump.; | — |
Secondary
| Measure | Time frame |
|---|---|
| Ultrasound imaging time;The time of insertion;Effective time and success rate;Incidence of hemidiaphragm paralysis (HDP);Postoperative adverse reactions;Education level;Anesthetic time;0peration time;Total remifentanil dose;Number of anchors;The highest resting pain before operation;Number of passes;Horner syndrome;Vascular puncture;Nerve puncture;Total NBPCA dose (ml) ;Number of NBPCA presses;Tramadol consumption 48h after surgery(mg);Sleep quality 48h after surgery;patient satisfaction with analgesia 48h after surgery;surgeon satisfaction with analgesia 48h after surgery; | — |
Countries
China
Contacts
Public ContactYao Yuanyuan
The Second Affiliated Hospital of Medical College of Zhejiang University
Outcome results
None listed