Shoulder joint disease
Conditions
Interventions
M Group:General anesthesia + modified superior brachial plexus block group + supraclavicular nerve block
I Group:General anesthesia + traditional intermuscular groove brachial plexus nerve block group + supraclavicular nerve block
Sponsors
The First People’s Hospital of Jingzhou
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: 1. Age: 18 to 65 years old, ASA (American Society of Anesthesiologists) grade I to III; 2. Patients who are scheduled to undergo total shoulder arthroplasty or rotator cuff repair surgery; 3. Preoperative cognitive function is normal, and the patient can correctly understand pain rating scales (such as NRS scores); 4. There was no history of chronic pain or long-term use of opioids before the operation
Exclusion criteria
Exclusion criteria: 1.History of allergy to local anesthetics (e.g., bupivacaine, ropivacaine) or liposome components; 2.Severe hepatic or renal insufficiency, coagulation dysfunction; 3.Drug abuse or alcoholism; 4.Preexisting neurological or psychiatric diseases affecting pain perception; 5.Patients requiring additional anesthetic analgesic interventions during surgery;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative 48h NRS score; | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of adverse reactions such as phrenic nerve paralysis, nausea and vomiting after surgery;Cumulative dose of analgesics used within 72 hours after surgery;Length of hospital stay;Time and dose of the first postoperative analgesic use;NRS scores at 4, 12, 24, and 72 hours post - PACU extubation;Effect and duration of sensory and motor block; | — |
Countries
China
Contacts
Public ContactTang Li
The First People’s Hospital of Jingzhou
Outcome results
None listed