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The control of perioperative pain is necessary to avoid worst surgical suites after shoulder arthroplasty. Interscalene block (ISB) with or without catheter is the gold standard in postoperative analgesia after shoulder prosthesis but neurological or respiratory adverse events can occured . The intra-articular local (IAL) anesthetic infiltration with catheter is a simple procedure. Its efficacy was proved in knee and hip arthroplasty but not in shoulder arthroplasty. Our hypothesis was the IAL is as effective as ISB in early postoperative analgesia after shoulder arthroplasty.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| IAL | Experimental | intra-articular local anesthetic infiltration with catheter |
|
| ISB | Active Comparator | interscalene block with catheter |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| intra-articular local anesthetic infiltration | Procedure | intra-articular local anesthetic infiltration with 20 ml of Ropivacaine 2 % and catheter |
|
| Measure | Description | Time Frame |
|---|---|---|
| Mean postoperative pain | during the 48 first hours |
| Measure | Description | Time Frame |
|---|---|---|
| Complications dues to anesthesia procedure | At 12 hours after surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Polyclinique du Plateau | Bezons | 95870 | France | |||
| Hospital Ambroise Paré Paris |
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| inter-scalene block | Procedure | inter-scalene block with 20 ml of Ropivacaine 2 % and catheter |
|
| Ropivacaine 2 % | Drug | 20 ml of Ropivacaine 2 % |
|
| Boulogne-Billancourt |
| 92000 |
| France |
| Clinique Claude Bernard | Ermont | 95120 | France |
| Clinique Jules Verne | Nantes | 44300 | France |
| Institut Mutualiste Montsouris | Paris | 75014 | France |
| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| ID | Term |
|---|---|
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
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| ID | Term |
|---|---|
| D000077212 | Ropivacaine |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
| D000588 | Amines |
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