different volumes (10 vs 20mL) of ropvacaine 0.5 %will be investigated, when used for interscalene brachial plexus block in shoulder surgery
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients > 18 years Patients undergoing arthroscopy of the shoulder ASA I – III German speaking Able to cooperate in pain assessment Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 40 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Patients with a contra-indication for interscalene brachial plexus block Allergy to ropivacaine or other amide local anesthetics Preexisting respiratory compromise Preexisting sensory or motor block Chronic pain and taking > 30 mg oral morphine or equivalent per day Participation in another study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: We aim to evaluate whether the use of ultrasound guidance and decreased volumes of local anesthetic (10 ml ropivacaine 0.5%) is as effective as larger volumes of local anesthetic (20 ml ropivacaine 0.5%), with less side effects.;Secondary Objective: Comparison of the quality of analgesia defined as average VRS score over 24 hours Time to complete resolution of sensory block and motor block will be analyzed between the two groups. Comparison the amount of additional pain medication used over a period of 24 hours in both groups Comparison the overall patient satisfaction regarding the anesthetic technique in both groups ;Primary end point(s): Time to first request of analgesia will be the primary endpoint;Timepoint(s) of evaluation of this end point: Time of request, noted in CRF | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Comparison of the quality of analgesia defined as average VRS score over 24 hours Time to complete resolution of sensory block and motor block will be analyzed between the two groups. Comparison the amount of additional pain medication used over a period of 24 hours in both groups Comparison the overall patient satisfaction regarding the anesthetic technique in both groups ;Timepoint(s) of evaluation of this end point: perioperative beginning 120, 180, 240 minutes after brachial plexus block, then every two hours till 10pm. no evaluation during night, beginning again next morning. over all duration max 24 hrs | — |
Countries
Austria
Contacts
Universitätsklinik für Anästhesie - Paracelsus Medizinische Universität Salzburg