Pain Management After Shoulder Prosthesis: A Clinical Trial of Nerve Block and Local Infiltration

N/ATerminatedNCT01362075

Horsens Hospital74 enrolled

Overview

The purpose of this study is to determine the efficacy of local infiltration analgesia as compared to 48-hour interscalene block in treating pain after shoulder arthroplasty. The investigators hypothesize a reduced pain score and use of supplemental analgesic medication during the first three postoperative days using local infiltration analgesia.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Pain, Postoperative

Interventions

Local infiltration analgesiaPROCEDURE

150 ml ropivacaine, of which 100 ml is with adrenalin

Interscalene catheterPROCEDURE

7 ml ropivacaine interscalene block via catheter, subsequently given 5 ml/h and possibility of 5 ml bolus for the first 48 hours.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 90 Years

Medical Language ↔ Plain English

Inclusion Criteria: * elective primary shoulder arthroplasty Exclusion Criteria: * reverse or delta prosthesis * recent fracture near the shoulder * allergic to amid-type local analgesics * operation not under general anaesthesia * incompetent, pregnant, below 18 or above 90 years old * severe chronic neurogenic pain or sensory disturbances in the shoulder

Locations (2)

Aarhus University Hospital, Aarhus Hospital

Aarhus, Denmark, Denmark

Horsens Hospital

Horsens, Denmark, Denmark

Outcomes

Primary Outcomes

Supplemental analgesics ingested

Time frame: First 24 hours postoperatively

Secondary Outcomes

Pain score

Time frame: First 72 hours postoperatively

Supplemental analgesics ingested

Time frame: First 72 hours postoperatively

Data from ClinicalTrials.gov

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