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The aim of this study is to assess analgesic efficacy of a supraclavicular nerve block, suprascapular nerve block, or interscalene nerve block in a population undergoing shoulder arthroscopy with rotator cuff repair. The investigators hypothesize that subjects from all three arms will receive equal analgesia since these blocks are routinely performed to treat post-operative pain after shoulder surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Interscalene | Active Comparator | Single-shot Interscalene Nerve Block with ropivacaine 0.5% |
|
| Supraclavicular | Active Comparator | Single-shot Supraclavicular Nerve Block with ropivacaine 0.5% |
|
| Suprascapular | Active Comparator | Single-shot Suprascapular Nerve Block with ropivacaine 0.5% |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Brachial plexus nerve block | Procedure | All arms of the study comparing the three different blocks are receiving the same single injection bolus of ropivacaine 0.5% prior to surgery. We will then record and compare pain scores in PACU and opioid requirement. |
| Measure | Description | Time Frame |
|---|---|---|
| Pain | NRS Pain Scale | Same day, 1 hour after arrival in the post-anesthesia care unit after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Lung function | Vital Capacity, Spirometry | Same day, 1 hour after arrival in the post-anesthesia care unit after surgery |
| Sensory and Motor Function | Sensory Dermatome assessment C4 - C8 to touch; Motor assessment of grip and biceps with dynamometer |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| David Auyong, MD | Virginia Mason Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Virginia Mason Medical Center | Seattle | Washington | 98104 | United States |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| D010146 | Pain |
| D010335 | Pathologic Processes |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
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| Same day, 1 hour after arrival in the post-anesthesia care unit after surgery |
| Diaphragmatic excursion | Ultrasound measuring the diaphragm movement in centimeters (cm) | Same day, 1 hour after arrival in the post-anesthesia care unit after surgery |