Pain, Pain, Postoperative, Pathologic Processes, Shoulder Joint
Conditions
Brief summary
The aim of this study is to assess analgesic efficacy of a supraclavicular nerve block, suprascapular nerve block, or interscalene nerve block in a population undergoing shoulder arthroscopy with rotator cuff repair. The investigators hypothesize that subjects from all three arms will receive equal analgesia since these blocks are routinely performed to treat post-operative pain after shoulder surgery.
Interventions
All arms of the study comparing the three different blocks are receiving the same single injection bolus of ropivacaine 0.5% prior to surgery. We will then record and compare pain scores in PACU and opioid requirement.
Sponsors
Study design
Eligibility
Inclusion criteria
* Unilateral total shoulder arthroscopy for rotator cuff surgery ASA physical status I-III, \>18 years old, Non-pregnant, Consent to participate in the study
Exclusion criteria
* Refusal to participate, \< 18 years old, Chronic opioid use, Localized infection, Pregnancy or lactating, Pre-existing coagulopathy, Allergy to ultrasound gel or local anesthetics, Diaphragmatic dysfunction
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain | Same day, 1 hour after arrival in the post-anesthesia care unit after surgery | NRS Pain Scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Lung function | Same day, 1 hour after arrival in the post-anesthesia care unit after surgery | Vital Capacity, Spirometry |
| Sensory and Motor Function | Same day, 1 hour after arrival in the post-anesthesia care unit after surgery | Sensory Dermatome assessment C4 - C8 to touch; Motor assessment of grip and biceps with dynamometer |
| Diaphragmatic excursion | Same day, 1 hour after arrival in the post-anesthesia care unit after surgery | Ultrasound measuring the diaphragm movement in centimeters (cm) |
Countries
United States