Using local injection analgesia (LIA) might be non-inferior to interscalene block (ISB) for postoperative pain control in our arthroscopic rotator cuff surgery. Local infiltration analgesia, interscalene block, arthroscopic rotator cuff surgery, pain, opioid
Conditions
Interventions
ISB protocol
The standard monitoring, such as electrocardiogram (EKG), non-invasive blood pressure (NIBP) and pulse oximeter will be attached to the patient and monitored during the ISB procedure. An
Active Comparator Procedure/Surgery,Experimental Procedure/Surgery
Interscalene block (ISB),Local injection analgesia (LIA)
Sponsors
Research Affairs, Faculty of Medicine, Khon Kaen University
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. The patients who are required for arthroscopic rotator cuff surgery; which are including arthroscopic examination, rotator interval release, subacromial decompression, limited acromioplasty, arthroscopic rotator repair or debridement for routine and consider performing biceps tenotomy or tenodesis if the patients have biceps tendon lesion 2. Aged over 18 years old 3. American Society of Anesthesiologists (ASA) physical state I-III
Exclusion criteria
Exclusion criteria: 1. Taking opioids for more than 1 month before surgery (chronic opioid used) 2. Pre-existing neuropathy at the affected limb 3. History of previous surgery of ipsilateral shoulder 4. Allergy to study drugs; bupivacaine, adrenaline, ketorolac, TXA, opioids, NSAIDs or paracetamol 5. Contraindication to ISB; COPD, skin disease, contralateral lung pathology 6. Infection at the site of application 7. Bleeding diathesis; coagulopathy, thrombocytopenia 8. Inability to understand how to report pain scores 9. Inability to understand how to use intravenous PCA
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Posoperative pain at rest At 24 hours postoperatively VAS pain score | — |
Secondary
| Measure | Time frame |
|---|---|
| Morphine consumption At 1, 6, 12, 24 and 48 hours postoperatively and before discharge Recorded from IV PCA,Satisfication At discharge date Satisfication score,Posoperative pain at rest At 1, 6, 12 and 48 hours postoperatively and before discharge VAS pain score,Posoperative pain at motion (neutral rotation and shoulder elevation in scapular plane; not exceed 90 degrees) At 24 and 48 hours postoperatively and before discharge VAS pain score,Opioids related complications From immediate postoperative time until discharge date Sedation score, PONV score, Itching, Respiratory rate ,ISB and LIA related complications From immediate postoperative time until discharge date LAST, PNI ,Operative complications From immediate postoperative time until discharge date Any events related to the operation | — |
Countries
Thailand
Contacts
Public ContactThawathit Thangtamniyom
Faculty of Medicine, Khon Kaen University
Outcome results
None listed