Diaphragmatic paralysis
Conditions
Interventions
Low dose group:Under ultrasound guidance, 5 ml of 0.4% ropivacaine was injected around the superior trunk of the brachial plexus.
Medium dose group:Under ultrasound guidance, 10 ml of 0.4% ropivacaine was injected around the superior trunk of the brachial plexus.
High dose group:Under ultrasound guidance, 15 ml of 0.4% ropivacaine was injected around the superior trunk of the brachial plexus.
Sponsors
Beijing Friendship Hospital, Capital Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 74 Years
Inclusion criteria
Inclusion criteria: 1.Patients who are unaware of their cancer diagnosis (as determined by Patients aged 18-74 years; 2.ASA ?~?; 3.BMI 18 ~ 30 kg/m2; 4. Elective Arthroscopic Rotator Cuff Repair Surgery.
Exclusion criteria
Exclusion criteria: 1.Refuse to perform nerve block; 2.Coagulation dysfunction; 3.Skin infection at the puncture site; 4.Allergy to local anesthetics; 5.Central system diseases, neuropathy of operative limbs, cervical disc herniation or cervical spondylosis; 6.History of severe cardiopulmonary function disease, such as chronic obstructive pulmonary disease or respiratory failure, existing phrenic nerve injury or paralysis on the contralateral side, and lobectomy on the contralateral side; 7.Long term chronic pain and related medication history; 8.The 24 hour follow up records were incomplete.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence of hemidiaphragmatic paralysis at 30 minutes post nerve block ; | — |
Secondary
| Measure | Time frame |
|---|---|
| The degree of hemidiaphragmatic paralysis;The static and dynamic VAS scores at 0, 6, 12, and 24 hours postoperatively were compared among the three groups;Muscle strength and mobility of the affected (or surgical) upper limb were evaluated at 0, 6, 12, and 24 hours postoperatively in the three patient groups.;the duration of sensory block ;Medication status;Complications occurring ;Basic indicators: gender, age, BMI, ASA grade, comorbidities, history of previous surgery, special medication, type of surgery, operation time, extubation time, PACU residence time.;incidence of cardiovascular events; | — |
Countries
China
Contacts
Public ContactLei Cao
Beijing Friendship Hospital, Capital Medical University
Outcome results
None listed