Rotator Cuff Injuries
Conditions
Interventions
All patients will undergo the same procedures for monitoring, induction and maintenance of general anesthesia. It will require 74 patients in total divided into two groups: study and control.
Experime
Drug
D26.660
Sponsors
Financiamento próprio.
Financiamento próprio.
Eligibility
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: Adult patients; age between 18 and 65 years; physical status 1 and 2 of the American Society of Anesthesiology (ASA P1 and P2); body mass index (BMI) <30 kg / m2; both sexes; submitted to shoulder arthroscopy for treatment of rotator cuff rupture.
Exclusion criteria
Exclusion criteria: Puncture site skin infection; coagulopathy; brachial plexus neuropathy; systemic use of corticosteroids; routine use of opioids; diabetes; severe lung disease; psychiatric illness; and intolerance to one or more study medications.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - Duration of the sensitive block (minutes). The patients were evaluated in 4 moments postoperatively: in the PACU (post-anesthetic recovery room), 4, 12 and 24 hours after the procedure, when the patient was discharged. The duration of the sensory blockade (in minutes) was evaluated by means of a test with cotton soaked in alcoholic solution. The sensation of touch or temperature in the shoulder region was questioned and in case of a positive response in at least one of the two, it was considered to be the end of the sensory blockade. If they had presented pain complaints during the evaluation interval, this moment was considered as the end of the sensory blockade. The end of the injection of the local anesthetic solution was considered the zero moment to evaluate the duration of the blockade. An extension of at least 50% of the duration of the sensory blockade was expected according to previous studies. | — |
Secondary
| Measure | Time frame |
|---|---|
| - Intensity of pain Evaluated by visual analog pain scale (VAS). The patients were evaluated in 4 moments postoperatively: in the PACU (post-anesthetic recovery room), 4, 12 and 24 hours after the procedure, when the patient was discharged. A reduction of at least 30% in pain scores is considered satisfactory.;- Need for rescue analgesia in the first 24 hours. Evaluated as a dichotomous variable (yes / no). The patients were evaluated in 4 moments postoperatively: in the PACU (post-anesthetic recovery room), 4, 12 and 24 hours after the procedure, when the patient was discharged. Reduction of at least 30% is considered satisfactory.;- Incidence of postoperative nausea and vomiting (PONV) Evaluated as a dichotomous variable (yes / no). The patients were evaluated in 4 moments postoperatively: in the PACU (post-anesthetic recovery room), 4, 12 and 24 hours after the procedure, when the patient was discharged. Reduction of at least 10% is considered satisfactory.;- Block failure index. Evaluated as a dichotomous variable (yes / no). Characterized as an unaltered pain or sensory complaint in the limb operated in the anesthetic recovery room. The absence of failure is expected. | — |
Countries
Brazil
Contacts
Public ContactJoão Paulo Jordão Pontes
Complexo Hospitalar Santa Genoveva
Outcome results
None listed