Surgery shoulder surgery Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: age ¿18 and ¿ 70 yr, ASA I¿II, BMI < 35
Exclusion criteria
Exclusion criteria: patient refusal contraindication to interscalene block (severe chronic obstructive pulmonary disease, infection, coagulopathy, contralateral diaphragmatic paralysis) pregnancy neuropathy of the surgical limb recent (less than six months) use of glucocorticoids for at least two weeks chronic pain requiring daily use of opioid medication (greater than 30 mg/day of oral oxycodone equivalent).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. To determine the duration of analgesia (time to first analgesic request) after interscalene blocks when dexamethasone is added to bupivacaine for patients undergoing painful shoulder surgeries 2. To evaluate any difference in postoperative pain scores after interscalene block due to adding dexamethasone. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To evaluate the effect of low volume of bupivcaine versus high volume adding on postoperative pain. 2. To determine any increase in incidence of complications of interscalene blocks due to high versus low volume of bupivcaine and with adding dexamethasone. | — |
Countries
Egypt
Contacts
Lecturerof Anesthesia and Surgical Intensive Care, Faculty of Medicine, Alexandria University, Egypt