Incidence Of Hemidiaphragmatic Paralysis After Usg Guided Low Dose Interscalene Brachial Plexus Block

Post Graduate Institute of Medical Education and Research, Chandigarh56 enrolled

Overview

to put a catheter in interscalene brachial plexus USG guided and give a bolus of drug followed by 24 hours continous infusion of drug

to put a catheter in interscalene brachial plexus USG guided and give a bolus of drug followed by 24 hours continous infusion of drug. To see hemidiaphragmatic paralysis by seeing diaphragmatic excursion on M mode Usg subcostal approach, to see post operative pain, patient satisfaction score, complications if any

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

DIAGNOSTIC

Masking

NONE

Enrollment

Conditions

Respiratory Insufficiency

Interventions

Interscalene Block with Ropivacaine Hcl 0.2% Inj Vil 10MlDEVICE

bolus 10ml of 0.5% ropivacaine followed by infusion @ 2ml/hr of 0.2% ropivacaine

IV diclofenac and IV paracetamolDRUG

iv diclofenac 75 mg TDS iv paracetamol 1gm TDS

Eligibility

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

Medical Language ↔ Plain English

Inclusion Criteria: * Patients aged 18-65 years and belonging to ASA grade I, II, III, undergoing either, shoulder surgery, (rotator cuff repair, acromioplasty, hemiarthroplasty, and total shoulder replacement) or surgery for proximal humerus fracture will be recruited for the study. Exclusion Criteria: * a) Patient refusal for interscalene block b) Severe respiratory disease (FEV1/FVC \<0.7 and FEV1 \< 80% of predicted) c) Allergy to amide local anaesthetic drugs d) Chronic opioid therapy e) Patients who cannot understand how to operate PCA and VAS

Locations (1)

PGIMER

Chandigarh, India

Outcomes

Primary Outcomes

incidence of hemidiaphragmatic paralysis

incidence of hemidiaphragmatic paralysis by M mode USG to be seen

Time frame: 24 hours

Secondary Outcomes

postoperative pain

VAS score will taken

Time frame: 24 hours

Data from ClinicalTrials.gov

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