Postoperative Analgesia
Conditions
Brief summary
This study evaluates two anaesthetic techniques namely interscalene brachial plexus block and intra-articular local anaesthetic injection. Both techniques are currently used for providing postoperative pain relief following arthroscopic shoulder stabilisation operation. It will be a randomised controlled trial involving 30 patients in two groups.
Interventions
An interscalene block will be performed pre-operatively using ultrasound guidance and the peripheral nerve stimulator (with the patient awake) using 20 ml of 0.375% Ropivacaine.
The procedure will be done by the surgeon at the end of the operation, with an intra-articular injection of 20 ml 0.75% Ropivacaine through the arthroscopic cannula after closure of the anterior wound
The block will be performed under U/S guidance
20ml of 0.375% Ropivacaine
Sponsors
Study design
Eligibility
Inclusion criteria
• All adult patients above the age of 18 years undergoing arthroscopic shoulder stabilisation operation
Exclusion criteria
* Patients not meeting inclusion criteria * Patients unable to give informed consent * Patient refusal to participate in the study * Contraindications to Interscalene block * Allergy to local anaesthetics * Peripheral neuropathy from any cause * Patients on opiates for chronic pain * Pregnant women
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mean pain score over the first 24 hours following arthroscopic shoulder stabilisation operation | 24 months |
Secondary
| Measure | Time frame |
|---|---|
| Post-operative analgesic requirements in the first 24 hours after surgery | 24 months |
| Patient assessment of quality of analgesia and identifying any complications as a result of the two anaesthetic procedures | 24 months |