Analgesic Effect of Intra-articular Dexamethasone and Dexamethasone Added to Bupivacaine in Interscalene Brachial Plexus

Phase 4CompletedNCT02026050

TC Erciyes University75 enrolled

Overview

the aim of this study was to investigate the analgesic efficacy of intra articular dexamethasone administration for arthroscopic shoulder surgery.

shoulder surgery can be very painful and interscalene brachial plexus block is the gold standard in the management of acute pain after shoulder surgery. various local anaesthetic mixtures can be used to prolong local anaesthesia duration and epinephrine , opioids and dexamethasone are frequently used for this purpose. dexamethasone has also been found the prolong the duration of lidocaine axillary blocks and intravenous regional anaesthesia. intraarticular administration of medicines can be used for management of joint pain and opioids , local anaesthetics and dexamethasone are used for this purpose.In addition, there are no studies available to compare the different treatment methods used in clinical practice directly.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

QUADRUPLE

Enrollment

Conditions

Postoperative Pain

Interventions

intraarticular dexamethasonePROCEDURE

2ml 8 mg dexamethasone administration for intraarticular

interscalene dexamethasonePROCEDURE

2ml 8 mg dexamethasone administration interscalene brachial plexus added 30 ml 0.5 % bupivacaine

serum phsyologicPROCEDURE

interscalene brachial plexus block was preoperative performed 30 ml 0.5 % bupivacaine+ 2ml serum phsyologic and after surgery 10 ml serum phsyologic administration for intraarticular

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * between 18-65 years * arthroscopic shoulder surgery * no known allergies to drugs * ASA 1-2 patients Exclusion Criteria: * history of diabetes * history of chronic pain treatment * pregnancy * severe bronchopulmonary disease * systemic glucocorticoid use

Locations (1)

Erciyes university hospital

Kayseri, Turkey (Türkiye)

Outcomes

Primary Outcomes

analgesic consumption

morphine consumption (patient controlled analgesia procedure) was recorded

Time frame: postoperative 1 day

Secondary Outcomes

visual analog scale

Visual analog scale on rest and movement was recorded

Time frame: postoperative 1 day

Data from ClinicalTrials.gov

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