- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT01730573
Interscalene and Combined Supra Scapular and Axillary Nerve Blocks in Rotator Cuff Repair
A Randomized Comparison of Inter Scalene and Combined Supra Scapular and Axillary Nerve Blocks for Postoperative Pain Relief in Arthroscopic Shoulder Rotator Cuff Repair
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
Patients having elective arthroscopic rotator cuff repair will be randomized to one of the two groups.
Group 1: This group will receive Interscalene block (ultrasound guided and nerve stimulator aided) followed by a general anesthesia.
Group 2: This group will receive Suprascapular and Axillary nerve block (ultrasound guided and nerve stimulator aided) followed by a general anesthesia.
Performance time, quality and efficacy as well as any side-effects of the blocks will be evaluated in terms of pain scores in recovery room, after 4- 6 hours and the next morning, opioid usage and patient satisfaction.
Primary hypothesis:
• Combined Suprascapular and axillary nerve blocks provide similar postoperative analgesia as compared to interscalene block for arthroscopic rotator cuff repair.
Secondary hypothesis
• Interscalene block is associated with more side effects and complications as compared to suprascapular nerve block and axillary nerve block.
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
-
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Ontario
-
London, Ontario, Canada, N6A 4V5
- St. Joseph's Health Care
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London, Ontario, Canada
- St. Joseph Hospital
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Elective shoulder arthroscopic rotator cuff repair
- ASA I - III (American Society of Anaesthesia Classification)
Exclusion Criteria:
- ASA IV or higher ( American Society of Anaesthesia Classification)
- Obesity: BMI >35
- Narcotic Abuse/ Drug dependency
- Major Neurologic deficits
- Allergy to local anesthetics
- Infection in the site of the puncture
- Mental impairment
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Aktiv komparator: Interscalene block
This arm patients will receive inter scalene block which will be ultrasound and nerve stimulator guided.
|
This arm patients will receive inter scalene block which will be ultrasound and nerve stimulator guided.
|
|
Aktiv komparator: Suprascapular and Axillary nerve block
This arm patients will receive Suprascapular and axillary nerve blocks which will be ultrasound guided and nerve stimulator guided.
|
This arm patients will receive Suprascapular and axillary nerve blocks which will be ultrasound guided and nerve stimulator guided.
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Analgesic Efficacy
Tidsramme: one year
|
Visual Analogue scores for pain will be analyzed using chi-squared test.
Interscalene block (ISB) of the brachial plexus has been demonstrated to be one of the most effective analgesic modality during arthroscopic shoulder surgery.
However, despite its (ISB) time-tested record of relative safety, ISB is associated with some complications.
These could be central nervous system, respiratory and cardiovascular complications.
These side effects and complications are based upon the anatomy of the brachial plexus at this level.Recently, suprascapular and axillary nerve blocks have been used to control postoperative shoulder pain.
The study will try to find out whether combined supra scapular and axillary nerve blocks are as effective in pain control as compared to inter scalene block.
|
one year
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Side effects
Tidsramme: 1 year
|
The study will try to find out whether combined supra scapular and axillary nerve blocks are associated with less side effects as compared to inter scalene block.
|
1 year
|
Andre resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Patient satisfaction
Tidsramme: 1 year
|
1 year
|
Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Ledende efterforsker: Shalini Dhir, MD, FRCPC, Western University, Canada
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Andre undersøgelses-id-numre
- 102994
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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Kliniske forsøg med Lidelse af Rotator Cuff
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ZuriMED Technologies Inc.RekrutteringRivning af rotatormanchet | Rotator Cuff River | Rotator Cuff Tears of the ShoulderForenede Stater
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Hebei Medical University Third HospitalAktiv, ikke rekrutterendeSkulderklæbende kapsulitis | Skulderartroskopi | Rotator Cuff Tears of the ShoulderKina
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Hospital Universitario La Pazspanish society of orthopedics and traumatologyAfsluttetRotator Cuff Tears of the ShoulderSpanien
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Istanbul UniversityRekrutteringSubakromielt smertesyndrom | Skulder bursitis | Skulder tendinopati | Rotator Cuff Tears of the Shoulder | Rotator Cuff-relateret skuldersmerterTyrkiet (Türkiye)
Kliniske forsøg med interscalene block
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Kocaeli UniversityAktiv, ikke rekrutterendePostoperativ smerte | Lumbal diskusprolapsTyrkiet (Türkiye)
-
Benaroya Research InstituteAfsluttetPost-operative smerterForenede Stater
-
TC Erciyes UniversityAfsluttetObstetriskTyrkiet (Türkiye)
-
Karaman Training and Research HospitalAfsluttetSlidgigt i knæetKalkun
-
Damanhour Teaching HospitalRekrutteringPostoperative smerterEgypten
-
Abd-Elazeem Abd-Elhameed ElbakryAktiv, ikke rekrutterende
-
Tanta UniversityAfsluttetAnalgesi | Total hofteprotese | Fascia Iliaca Blok | Lumbal Plexus Block | Lumbal Erector Spinae Plane BlockEgypten
-
Cairo UniversityUkendtMandibulær Hypoplasi | Mandibular retrognatismeEgypten
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Cairo UniversityIkke rekrutterer endnuAnæstesi til hofteoperation
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Shaukat Khanum Memorial Cancer Hospital & Research...AfsluttetSmertebehandling | Opioid ManagementPakistan