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Ropivacaine for ultrasound-guided interscalene block: 3mL provide similar analgesia to 5mL with less diaphragmatic paralysis in shoulder arthroscopy surgeries
Ropivacaine for ultrasound-guided interscalene block: 3mL provide similar analgesia to 5mL with less diaphragmatic paralysis in shoulder arthroscopy surgeries with no toxicity and no adverse reaction or complications we targeted under echography each nerve to be blocked alone either to put around all the nerves a big volume
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 3 ml ropivacaine | Active Comparator | interscalene block using 3 ml under ultrasound put medication on each nerve |
|
| 5 ml ropivacaine | Active Comparator | interscalene block using 5 ml under ultrasound put medication on each nerve |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ropivacaine 0.5% Injectable Solution | Drug | Is to put 3 ml or 5 ml and show the difference |
|
| Measure | Description | Time Frame |
|---|---|---|
| Diaphragmatic paralysis | on x ray we look if there is an elevated diaphragm | Up to 48 hours |
| Pain relief | pain scale 1-10 score 1 no pain and 10 severe pain first by visiting patient before discharge twice and thereafter on the phone | up to day 2 after operation |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| hazem kafrouni | Saint George Hospital | Principal Investigator |
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| ID | Term |
|---|---|
| D012133 | Respiratory Paralysis |
| ID | Term |
|---|---|
| D012131 | Respiratory Insufficiency |
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D010243 | Paralysis |
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| ID | Term |
|---|---|
| D000077212 | Ropivacaine |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
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| D009461 |
| Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D000588 |
| Amines |