Interscalene Block, Shoulder Arthroscopy, Dexamethasone, Low Volume Regional Anesthesia
Conditions
Brief summary
The main aim of the study is to investigate the proven effect of dexamethsone on the duration of the interscalene block. The investigators try to define optimal dose and volume for ropivacaine, when used together with dexamethsone. The current literature uses often very high volumes of ropivacain when used together with dexamethasone. The investigators try to research the effect of using dexamethsone together with low volume, high concentration ropivacaine for interscalene blockade. The investigators' hypothesis is that dexamethasone has an positive effect on the pain free after used together with ropivacaine at the scalene block.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* atroscopy of the shoulder * repair of the RM
Exclusion criteria
* patient under 18 years * patient is fertile * chronic opiat use more than 30mg oxycodone per day * operations at the shoulder that involves the bone * usage of cortisone for more than 2 weeks * risk greater as asa III * damage to nerves * neuropathy at the target arm
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain free time measured by the duration between block and the point at which the patient is asking for painkillers | Patients will be followed during their stay at the hospital, which will be normally around 24 to 48 hours. |
Secondary
| Measure | Time frame |
|---|---|
| Visual Rating Scale for Pain at Movement and Rest | Measured 10 hours after the intervention |
Other
| Measure | Time frame | Description |
|---|---|---|
| Patient satisfaction | 1 day, when the patient leaves the hospital | Measured by a validated questionary |
Countries
Austria