Continuous Interscalene Blocks and Rebound Pain
NCT07770165 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 154
Last updated 2026-08-19
Summary
The primary objectives of this present study are to examine whether a continuous interscalene block of a total duration of 48 hours reduces the incidence of rebound pain comparatively to single-shot interscalene block, through the evaluation of the NRS scores at rest and on movement in the postoperative period at 24, 48, 72 and 96 hours as well as the total opioid consumption in the same timeframe for patients undergoing total shoulder arthroplasty.
Rebound pain has been defined in some studies as the "the transition from well-controlled pain (numerical rating scale \[NRS\] ≤3) while the block is working to severe pain (NRS ≥7) within 24 h of block performance."
Conditions
- Total Shoulder Arthroplasty
- Reverse Total Shoulder Arthroplasty
- Interscalene Analgesia
- Interscalene Blocks
- Interscalene Nerve Block
- Orthopedic Surgery Patients
- Locoregional Anaesthesia
- Rebound Pain
Interventions
- DRUG
-
Continuous interscalene nerve block
This Interventional Group will receive a continuous interscalene block via a catheter for a duration of 48 hours with ropivacaine 0.2% at a fixed 5 mL/hour rate.
- DRUG
-
Interscalene Block
This control group will receive a single shot interscalene block with 20 mL of ropivicaine 0.2%.
Sponsors & Collaborators
- lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-10-31
- Primary Completion
- 2027-05-31
- Completion
- 2027-05-31
Countries
- Canada
Study Locations
More Related Trials
-
Evaluating the Analgesic Efficacy of Combined Individual Nerve Block in Comparison to Interscalene Nerve Block
NCT04709250 ·Status: COMPLETED ·Phase: NA
-
Supraclavicular Versus Interscalene Block for Shoulder Surgery
NCT02486549 ·Status: COMPLETED ·Phase: NA
-
Analgesic Efficacy of Interscalene Nerve Block Versus Local Infiltration Analgesia Following Total Shoulder Arthroplasty
NCT02876055 ·Status: COMPLETED ·Phase: PHASE4
-
Combined Shoulder Anterior Capsule and Suprascapular Nerve Block Versus Interscalene Block in Shoulder Surgery
NCT06519851 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Effect of Local Anesthetic Dose on Interscalene Block
NCT01701115 ·Status: COMPLETED ·Phase: NA
-
Liposomal Bupivacaine for Pain Control After Total Shoulder Arthroplasty
NCT02762071 ·Status: COMPLETED ·Phase: NA
-
Interscalene Block With and Without Liposomal Bupivacaine in Shoulder Surgery
NCT03728946 ·Status: COMPLETED ·Phase: NA
-
Continuous Cervical Erector Spinae Plane Block Versus Interscalene Nerve Block in Shoulder Arthroscopic Surgery
NCT07369271 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Interscalene Versus Combined Infraclavicular-suprascapular Nerve Blocks
NCT03628950 ·Status: COMPLETED ·Phase: NA
-
Interscalene vs. Superficial Cervical Block vs. Combination for Analgesia After Clavicle Fracture
NCT03094481 ·Status: UNKNOWN ·Phase: NA
-
Effect of Pericapsular Nerve Block on the Quality of Recovery After Shoulder Arthroscopy
NCT06225089 ·Status: COMPLETED ·Phase: NA
-
Distance for Interscalene Block
NCT01568463 ·Status: COMPLETED
-
Effect of Interscalene Block Methods on Rebound Pain
NCT06883279 ·Status: COMPLETED ·Phase: NA
-
Evaluating Intercostobrachial Nerve Block's Effect on Pain Control After Shoulder Replacement
NCT06042608 ·Status: COMPLETED ·Phase: NA
-
A Study Comparing Two Methods of Placing an Interscalene Nerve Catheter for Postoperative Pain Control in Patients Who Undergo Open Shoulder Surgery.
NCT01696188 ·Status: COMPLETED ·Phase: NA
-
Continuous Interscalene Block Results in Superior Recovery Throughout the First Postoperative Week
NCT01881776 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Effectiveness of Interscalene Brachial Plexus Block and Intra-articular Injection of Ropivacaine for Post-operative Analgesia in Arthroscopic Shoulder Stabilization Surgery
NCT01589354 ·Status: UNKNOWN ·Phase: NA
-
Interscalene Block With Liposomal Bupivacaine vs. Interscalene Block With Bupivacaine and Adjuvants
NCT03845894 ·Status: TERMINATED ·Phase: PHASE4
-
Interscalene Block Versus Supraclavicular Block for Shoulder Surgery
NCT03224884 ·Status: COMPLETED ·Phase: NA
-
Quality of Analgesia After Interscalene Block After Arthroscopic Shoulder Surgery
NCT02554357 ·Status: COMPLETED ·Phase: NA
-
Analgesia After Total Shoulder Arthroplasty
NCT01782872 ·Status: COMPLETED ·Phase: PHASE4
-
Continuous Interscalene Block vs Liposomal Bupivacaine After Proximal Humerus Fracture Surgery
NCT05084573 ·Status: UNKNOWN ·Phase: PHASE3
-
Continuous Interscalene Block for Same Day Discharge Following Total Shoulder Arthroplasty
NCT01785940 ·Status: COMPLETED ·Phase: NA
-
Supraclavicular Versus Interscalene Block
NCT02014766 ·Status: UNKNOWN ·Phase: NA
-
Upper Trunk Block Feasibility by Anesthesia Residents
NCT05932186 ·Status: UNKNOWN ·Phase: PHASE4