Ultrasound-guided Interscalene Brachial Plexus Block: Single Bolus vs Continuous Catheter Placement in Arthroscopic Rotator Cuff Repair

N/AActive Not RecruitingNCT06855381

University of Foggia80 enrolled

Overview

Shoulder arthroscopy is a minimally invasive procedure frequently used for rotator cuff repair. Patients may experience severe postoperative (PO) pain, that can last for a month and can influence successful rehabilitation. Our study aimes to evaluate the effectiveness of interscalene brachial plexus single-shot (ISBSS) versus continuous interscalene brachial plexus block (ISBC) in controlling perioperative pain and avoiding PO pain chronicization. This prospective randomized unblinded trial hypothesizes that the PO perineuronal infusion using a continuous ambulatory delivery device pump gives better pain control and outcomes than ISBSS during the long-term follow-up period.

Blocks will be performed under ultrasound guidance with 15 - 20 mL of 0.75 % ropivacaine.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Enrollment

Conditions

Anesthesia

Interventions

in the ISBC group, a 22G 50 mm SonoPlex needle with an indwelling cannula will be used. The E-catheter will be inserted into the indwelling cannula.

single bolus injectionPROCEDURE

An ultrasound-guided peripheral nerve block puncture will be performed from the lateral to the medial side of the neck. In this group a 22G 50 mm needle will be used

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * American Society of Anesthesia (ASA) physical status of 1 to 2, * Body Mass Index (BMI) of less than 30 kg/m², * paitents undergoing shoulder arthroscopy for small to medium rotator cuff tears. Exclusion Criteria: * skin infection on the puncture site, * coagulopathy * brachial plexus neuropathy * alcohol or drug abuse * diabetes * severe lung disease * history of allergy to one or more study drugs.

Locations (1)

Policlinico

Foggia, Italy

Outcomes

Primary Outcomes

Pain severity

Tha pain severity will be evaluated by NRS scale

Time frame: 24 hour, 48 hour, 72 hour, 7 day

Data from ClinicalTrials.gov

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