Efficacy of Different Adjuvants With Ropivacaine in Brachial Plexus Block on Anthroscopic Rotator Cuff Repair
NCT06601647 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 120
Last updated 2024-09-20
Summary
The pain after shoulder rotator cuff repair surgery is severe due to the inflammatory reaction of tendon repair. Severe pain will reduce the patient's shoulder range of motion and delay functional recovery. The use of powerful analgesics for pain relief may also increase the chance of opiate analgesic-related side effects. Brachial plexus block with local anesthetic is widely used for pain control at the acute stage after shoulder arthroscopic surgery, but the maintenance time is often limited. Ropivacaine is a local anesthetic commonly used for brachial plexus block, and its half-life time is 11.8 hours. Clinical studies showed that using ropivacaine plus adjuvants such as dexamethasone or dexmedetomidine for brachial plexus block significantly extended the block duration, reduced postoperative pain, and reduced the use of opiate analgesics. However, the safest and most effective combination of local anesthetics remains unresolved.
This trial aims to evaluate and compare the effects of brachial plexus block using dexamethasone and dexmedetomidine combined with ropivacaine on postoperative pain control and functional recovery after arthroscopic rotator cuff repair surgery.
Conditions
- Anesthesia
Interventions
- PROCEDURE
-
adjuvant type
ropivacaine combined with adjuvant
Sponsors & Collaborators
-
Taipei Veterans General Hospital, Taiwan
lead OTHER_GOV
Principal Investigators
-
Hsin-Yi Wang, MD, PhD · VGHTPE
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 20 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-09-19
- Primary Completion
- 2025-09-30
- Completion
- 2025-09-30
Countries
- Taiwan
Study Locations
More Related Trials
-
Comparison of the Analgesic Effect of Different Local Anesthetics in Interscalene Nerve Block for Shoulder Surgery
NCT02691442 ·Status: COMPLETED ·Phase: PHASE4
-
Effect of Local Anesthetic Dose on Interscalene Block
NCT01701115 ·Status: COMPLETED ·Phase: NA
-
Analgesia After Total Shoulder Arthroplasty
NCT01782872 ·Status: COMPLETED ·Phase: PHASE4
-
Comparison Between Interscalene and Combined Costoclavicular-suprascapular Blocks for Arthroscopic Shoulder Surgery
NCT04224766 ·Status: COMPLETED ·Phase: NA
-
The Impact of a Preoperative Nerve Block on the Consumption of Sevoflurane in Total Shoulder Arthroplasty
NCT04020601 ·Status: TERMINATED ·Phase: PHASE2/PHASE3
-
The Effect of Brachial Plexus Block on Diaphragm Movement
NCT06640621 ·Status: COMPLETED ·Phase: NA
-
The Effect of Systemic or Perineural Dexamethasone on the Duration of Interscalene Nerve Blocks With Ropivacaine
NCT01495624 ·Status: TERMINATED ·Phase: NA
-
Optimal Effective Local Anesthetic Volume for Pain Relief Using Brachial Plexus Block
NCT05868993 ·Status: RECRUITING ·Phase: PHASE4
-
Dexmedetomidine Added to Ropivacaine Single Shot vs Continuous Interscalene Nerve Block
NCT05775861 ·Status: RECRUITING ·Phase: NA
-
The Impact of a Preoperative Nerve Block on the Consumption of Sevoflurane
NCT03533452 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Interscalene Brachial Plexus Block Combined With Suprascapular Nerve Block
NCT02424630 ·Status: COMPLETED ·Phase: NA
-
Suprascapular Nerve Block as Postoperative Analgesia After Artroscopic Shoulder Surgery
NCT02576223 ·Status: COMPLETED ·Phase: NA
-
Effectiveness of Suprascapular Nerve Block in Arthroscopic Shoulder Surgery
NCT02007057 ·Status: COMPLETED ·Phase: PHASE4
-
Low-dose Intravenous Dexamethasone at Different Times as Adjunvants for Brachial Plexus Blocks
NCT04714112 ·Status: COMPLETED ·Phase: PHASE4
-
Pulmonary Function and Interscalene Block
NCT02181296 ·Status: COMPLETED ·Phase: NA
-
Dexamethasone at Lower Concentration Ropivacaine in the Supraclavicular Nerve Block
NCT03572686 ·Status: UNKNOWN ·Phase: NA
-
Analgesic Efficacy of Interscalene Nerve Block Versus Local Infiltration Analgesia Following Total Shoulder Arthroplasty
NCT02876055 ·Status: COMPLETED ·Phase: PHASE4
-
Comparison of Postoperative Quality of Recovery by Anesthetic Method in Patients Undergoing Shoulder Arthroscopy
NCT06638112 ·Status: RECRUITING ·Phase: NA
-
Efficacy of the C8 Nerve Root Block During Interscalene Block for Anesthesia of the Posterior Aspect of the Shoulder
NCT03487874 ·Status: COMPLETED ·Phase: NA
-
Diaphragmatic Paralysis Comparison Between Local Anesthetic Volumen Doses After Interscalene Block
NCT04385966 ·Status: COMPLETED ·Phase: PHASE3
-
Efficacy of Nerve Blockade Performed Prior to Surgical Intervention Versus Following Surgical Intervention
NCT02666118 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Interscalene Block With Liposomal Bupivacaine vs. Interscalene Block With Bupivacaine and Adjuvants
NCT03845894 ·Status: TERMINATED ·Phase: PHASE4
-
Efficacy, Safety, and Pharmacokinetics of Brachial Plexus Block With EXPAREL in Shoulder Surgery
NCT02713230 ·Status: COMPLETED ·Phase: PHASE3
-
Pain Management After Adductor Canal Block for Total Knee Arthroplasty
NCT06086483 ·Status: COMPLETED ·Phase: PHASE4
-
Analgesic Duration of Long Acting Local Anesthetics for Low Volume Ultrasound-guided Interscalene Brachial Plexus Block
NCT02643563 ·Status: COMPLETED ·Phase: NA