Rotator cuff tear Postoperative pain after arthroscopic rotator cuff repair Shoulder pain rotator cuff tear, shoulder surgery, ISB, Subacromial injection, regional anesthesia, postoperative pain, opioid consumption
Conditions
Interventions
All participants receive a standard preoperative ultrasound-guided interscalene brachial plexus block with ropivacaine. After completion of arthroscopic rotator cuff repair, patients in the experiment
Experimental Procedure/Surgery,No Intervention No treatment
Interscalene brachial plexus block + Subacromial injection,Interscalene brachial plexus block only
Sponsors
Faculty of Medicine Ramathibodi Hospital, Mahidol University
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1.Aged 18 years old and older 2.Undergo ASK RC repair 3.MRI confirmation of RC tear
Exclusion criteria
Exclusion criteria: 1.Retear rotator cuff 2.History of ipsilateral shoulder fracture 3.Re-existing nerve damage 4.Opiod use over 30days pbefore operation 5.Pre-existing pulmonary disease 6.Patient who cannot answer self NRS 7.Patient who allergy to ropivacaine, transamic acid, ketorolac, morphine, paracetamol 8.Patient who loss contact after D/C 9.Coagulopathy 10.Decline to participate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative pain score during hospitalization q 4 hr, then once daily to POD14 VASVisual Analog Scale | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative opioid consumption during hospitalization and until POD14 Total amount of morphine (mg) and oral paracetamol/codeine tablets used,Patient satisfaction At hospital discharge and at 2-week follow-up Likert scale,plasma ropivacaine level once during hospitalization Ropivacaine concentration, measure via laboratory assay | — |
Countries
Thailand
Contacts
Public ContactNatnicha Yindeepholcharoen
Department of Orthopaedics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Outcome results
None listed