Selective Block of the Axillary Nerve in Postoperative Pain Management
Selective Block of the Axillary Nerve in Postoperative Pain Management, a Randomised, Blinded, Placebo-controlled Trial
In this study the investigators wish to compare the effect of a selective axillary nerve block to placebo in patients undergoing arthroscopic shoulder surgery.
It is the investigators hypothesis that the amount of morphine consumption in the first 4 hours postoperatively in the intervention group will be significant lower than in the placebo group.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Frederiksberg, Denmark
- Aleris-Hamlet Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subjects undergoing arthroscopic shoulder surgery
- Age between 18 and 80 years
- ASA 1-3
- BMI between 18 and 35 kg/m2
- Subjects which have given their written informed consent
Exclusion Criteria:
- Subjects unable to cooperate to the investigation
- Subjects not understanding or speaking danish
- Subjects allergic to intervention drugs
- Daily use of strong analgesics (morphine, oxycontine, ketogan)
- Alcohol or medicine misuse
- Failure of nerve block
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Placebo
Sodium chloride
|
Single shot nerve block with isotonic sodiumchloride 10-20 ml; 0.9%
|
|
Active Comparator: ropivacaine
Naropin
|
Single shot nerve block with ropivacaine 10-20 ml; 7,5 mg/ml
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Morphine consumption
Time Frame: 0-4 hours postoperatively
|
Patients are coupled to an intravenous PCA pump.
The amount of morphine administered by the patient in the first 4 hours postoperatively is registered.
|
0-4 hours postoperatively
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Visual analogue scale (VAS) score
Time Frame: 0-12 hours and 12-24 hours postoperatively
|
Postoperative VAS scores during the first 24 hours postoperatively, divided into two periods.
|
0-12 hours and 12-24 hours postoperatively
|
|
Total morphine consumption
Time Frame: 0-24 hours postoperatively
|
The total amount of morphine administered during the first 24 hours postoperatively
|
0-24 hours postoperatively
|
|
Postoperative nausea and vomiting (PONV)
Time Frame: 0-4, 0-12 and 12-24 hours postoperatively
|
Postoperative nausea evaluated on a 1-3 scale with and without vomiting
|
0-4, 0-12 and 12-24 hours postoperatively
|
|
Escape block
Time Frame: 0-4 hours postoperatively
|
The use of an escape block (interscalene brachial plexus block) in patients with pain breakthrough despite IV morphine 0-4 hours postoperatively.
|
0-4 hours postoperatively
|
|
Bolus morphine 5 mg iv
Time Frame: 0-4 hours postoperatively
|
Number of morphine boli administered during the first 4 hours postoperatively
|
0-4 hours postoperatively
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Rothe C, Asghar S, Andersen HL, Christensen JK, Lange KH. Ultrasound-guided block of the axillary nerve: a volunteer study of a new method. Acta Anaesthesiol Scand. 2011 May;55(5):565-70. doi: 10.1111/j.1399-6576.2011.02420.x.
- Rothe C, Lund J, Jenstrup MT, Steen-Hansen C, Lundstrom LH, Andreasen AM, Lange KHW. A randomized controlled trial evaluating the impact of selective axillary nerve block after arthroscopic subacromial decompression. BMC Anesthesiol. 2020 Jan 31;20(1):33. doi: 10.1186/s12871-020-0952-y.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- H-1-2011-057
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