None
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Age 18–80 years; 2.Scheduled for elective unilateral arthroscopic rotator cuff repair; 3.ASA physical status I–III; 4.BMI between 18 and 30 kg/m^2; 5.Able to understand the study and provide written informed consent.
Exclusion criteria
Exclusion criteria: 1.Coagulation disorder or current anticoagulant/antiplatelet therapy that may affect the safety of regional block; 2.Allergy to bupivacaine, liposomal bupivacaine, or related drugs; 3.Skin or soft tissue infection at the puncture site; 4.Severe respiratory disease or severe cardiovascular/cerebrovascular disease; 5.Pre-existing ipsilateral phrenic nerve palsy or severe thoracic/diaphragmatic disease; 6.Pre-existing ipsilateral upper-limb peripheral neuropathy or nerve injury; 7.Neuromuscular disease that may affect grip strength assessment or postoperative neurologic evaluation; 8.Previous complex surgery involving the ipsilateral neck or supraclavicular region; 9.Previous surgery on the ipsilateral shoulder; 10.Severe hepatic dysfunction or moderate-to-severe renal insufficiency; 11.Long-term opioid use; 12.Pregnancy or lactation; 13.Inability to understand or cooperate with NRS assessment, or inability to obtain evaluable preoperative diaphragmatic ultrasound images; 14.Any other condition judged by the investigator to make the patient unsuitable for participation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 90% minimum effective volume (MEV90) for successful analgesia at 24 hours after surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| ncidence and grading of hemidiaphragmatic paresis;Grip ratio and incidence of grip events;Postoperative pain intensity scores;Postoperative opioid consumption; | — |
Countries
China
Contacts
Geriatric Hospital of Nanjing Medical University