Shoulder arthroscopic repair
Conditions
Interventions
Observation Group 1 of infraspinatus - teres minor muscle fascia nerve block:Inject 20 ml of 0.375% ropivacaine.
Observation of infraspinatus - teres minor muscle fascia nerve block in 2 groups:Inject 20 ml of 0.5% liposomal bupivacaine.
Control group:Inject 20 ml of normal saline.
Sponsors
Hengshui People's Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1.Aged between 18 and 75 years old, gender is not restricted. 2. Pre - operatively diagnosed with full - thickness rotator cuff tear by magnetic resonance imaging (MRI), and the tear range is <=5 cm. 3.Planned to undergo arthroscopic rotator cuff repair (ASRCR) under general anesthesia combined with interscalene brachial plexus block. 4.Classified as American Society of Anesthesiologists (ASA) physical status II -III. 5.Able to understand and cooperate to complete the visual analog scale (VAS), sleep quality and shoulder joint function assessment.
Exclusion criteria
Exclusion criteria: 1. Allergic to ropivacaine, bupivacaine liposome or normal saline; 2. Presence of infection, tumor or severe malformation in the infraspinatus and teres minor muscle regions; 3. Long - term use of opioids (=3 times/week) within 3 months before surgery or a history of drug abuse; 4. Complicated with severe mental illness (such as depression), cognitive impairment or inability to communicate normally; 5. Previous history of surgery on the same - side shoulder joint or neuropathy of the same - side shoulder joint.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence of rebound tenderness before and after the resolution of ISB 8 - 48 hours after surgery (rebound tenderness was defined as NRS >= 7 points). In patients receiving regional anesthesia, rebound tenderness was usually observed 8 - 48 hours after surgery.; | — |
Secondary
| Measure | Time frame |
|---|---|
| Opioid use: including the total consumption of sufentanil (mg) in IV - PCA and the total dose of non - steroidal drugs for rescue analgesia (mg);Sleep quality: The Athens Insomnia Scale was used to evaluate the patients' sleep quality on the first and second nights after surgery (the scoring range is 0 - 10 points, with higher scores indicating poorer sleep quality). Meanwhile, the number of times the patients woke up at night due to pain was recorded.;Quality of Recovery - 15 (QoR-15): Evaluate the postoperative recovery quality of patients.;Shoulder joint function recovery: Measure the range of motion of the patient's shoulder joint (including the angles of forward flexion, abduction, and external rotation) at 1 week, 1 month, and 3 months after surgery respectively; at 3 months after surgery, use the Constant - Murley shoulder joint function score (the scoring range is 0 - 100 points, and a higher score indicates better shoulder joint function) to evaluate the recovery status of the patient's shoulder joint function.; | — |
Countries
China
Contacts
Public ContactLiu Xiaomeng
Hengshui People's Hospital
Outcome results
None listed