Rotator cuff tear
Conditions
Interventions
Sponsors
The First People's Hospital of Tianshui
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Male and female patients classified as ASA I-II, aged over 18 years, scheduled to undergo arthroscopic rotator cuff repair for unilateral rotator cuff injury.
Exclusion criteria
Exclusion criteria: 1.Patients who declined to participate in the study. 2.Inability to cooperate or communicate in Chinese. 3.Patients participating in other clinical trials. 4.Patients with severe cardiac, vascular, cerebral, renal, or hepatic diseases. 5.Patients with severe psychiatric disorders or those taking any psychotropic medications. 6.Contraindications to non-steroidal anti-inflammatory drugs (NSAIDs). 7.Contraindications to regional anesthesia (e.g., cervical spine deformity, significant neurological impairment, coagulation disorders, local infection at the block site, systemic infection, and/or allergy to local anesthetics). 8.Acute or chronic pain due to causes other than the rotator cuff injury. 9.Current use of any analgesic medications.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cumulative sufentanil consumption at 48 hours postoperatively between the two groups.; | — |
Secondary
| Measure | Time frame |
|---|---|
| Assessment of sensory block coverage for the surgical incision at 30 minutes post-block.;Heart rate;Systolic blood pressure;Diastolic blood pressure;SPO2;The rate of diaphragmatic paralysis, defined as a greater than 75% reduction in hemidiaphragmatic excursion compared to the preoperative baseline.;Pulmonary function (including FVC, FEV1, and PEF);Operation Duration;Intraoperative sufentanil consumption;Time to first onset of pain;Time to first PCA demand;Resting and activity-induced pain NRS scores, and pain locations (anterior, superior, and posterior shoulder).;The number of patients with resting and activity-induced pain NRS scores >3 within the first 48 hours postoperatively and in the time intervals of 0-6h, 6-12h, 12-24h, and 24-48h. ;Postoperative sufentanil consumption in the 0-6h, 6-12h, 12-24h, and 24-48h periods.;Simple Joint Motion Score for the wrist, elbow, and shoulder;Time to onset of shoulder motor recovery, defined as the interval from surgery completion to active shoulder abduction in the supine position.;Time to onset of elbow motor recovery, defined as the interval from surgery completion to active elbow flexion.;Time to onset of wrist motor recovery, defined as the interval from surgery completion to active wrist flexion.;Complications associated with sufentanil (including postoperative nausea and vomiting (PONV), pruritus, urinary retention, constipation, and respiratory depression).;Complications associated with nerve blockade, including paresthesia, vascular injury, local anesthetic systemic toxicity (LAST), pneumothorax, dyspnea, hoarseness, Horner's syndrome, total spinal or high epidural block, nerve injury within a two-week period, and spinal cord injury.;Length of Hospital Stay;QoR-15 score at 48 hours postoperatively; Patient satisfaction with postoperative analgesia; | — |
Countries
China
Contacts
Public ContactLi Chenguang
The First People's Hospital of Tianshui
Outcome results
None listed