Postoperative Pain, Analgesia
Conditions
Keywords
Postoperative pain, Lidocaine, Shoulder arthroscopy
Brief summary
Arthroscopic shoulder surgery is often associated with severe postoperative pain that is often significant enough to interfere with initial recovery and rehabilitation. The pain that can be difficult to manage without large dose of opioid. The study aim to explore the effect of continuous irrigation of fluids mixed with lidocaine and epinephrine for analgesic consumption and postoperative pain after shoulder arthroscopy.
Interventions
Under aseptic condition every one litre of fluid irrigation will be mixture with 10 ml of lidocaine 2% and 0.25mg epinephrine and the last one use before end of surgery dexamethasone 8 mg will be added.
DRUGEpinephrin
0.25 mg epinephrine mixed with one litre of fluid irrigation
Sponsors
Minia University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
* Age 20-60 * Both genders * Shoulder arthroscopy * ASA I-III
Exclusion criteria
* Drug allergy * Psychiatric disorder * Opioid dependence * Liver disease * Patient refuse
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| total analgesic consumption | 24 hours | total nalbuphine consumed one day after surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| first analgesic request | 24 hours | time of PCA request |
| Visual analogue pain score | 24 hours | pain intensity at rest and movement from 0-10 which 0 no pain and 10 the worst pain |
Countries
Egypt
Outcome results
None listed