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The goal of this study is to compare the continuous brachial plexus block with or without intravenous patient controlled analgesia(PCA) in patients undergoing arthroscopic rotator cuff repair, in terms of quality of recovery, postoperative pain score, and adverse event.
The Bellomic® M silicone balloon infuser, dual continuous petite type (cebika, Uiwang-si, Gyeonggi-do, Republic of Korea) has 2-channel infusion elastomeric pump with two balloon chambers.
This structure allows the simultaneous use of continuous nerve block and intravenous PCA. In addition, intravenous PCA can be continued even when continuous nerve block is discontinued due to discomfort such as numbness, tingling sense or motor block.
This is expected to contribute to the patient satisfaction and quality of recovery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Continuous interscalene brachial plexus block(CISB) with IV PCA group | Experimental | Patients in this group received continuous interscalene brachial plexus block(CISB) and intravenous PCA |
|
| Continuous interscalene brachial plexus block (CISB) group | Active Comparator | Patients in this group received continuous interscalene brachial plexus block (CISB) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CISB with IV PCA group | Other | Ultrasonography guided interscalene brachial plexus block was done with a 5 cm block needle and catheter was inserted. (Stimuplex®A, B Braun Medical, Bethlehem, PA). 10 mL 0.375 % ropivacaine was injected through the catheter. 0.2 % ropivacaine 4 ml/hour was injected through the continuous brachial plexus block catheter. IV-PCA with fentanyl (basal flow 0 ml with patient selected bolus 14 mcg, lockout 10 minutes) was started. |
| Measure | Description | Time Frame |
|---|---|---|
| Korean version of the Quality of Recovery-15 questionnaire (QoR-15K) score (0-150, 0: poor recovery, 150: good recovery) | Patient recovery measured by QoR-15K score | Postoperative 24 hour |
| Measure | Description | Time Frame |
|---|---|---|
| Pain score | Numerical Rating Scale (NRS-11(0-10): 0:no Pain and 10:Severe/Worst Pain) | Postoperative 6, 24, 48 hour |
| Cumulative consumption of PCA and rescue analgesics | Cumulative consumption of systemic analgesics |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| JI IN PARK | Contact | 82 10 3077 3666 | monica0120120@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| JI IN PARK | Seoul National University Bundang Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul national univercity Bundang Hospital | Recruiting | Seongnam-si | Gyeonggi-do | 13620 | South Korea |
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| ID | Term |
|---|---|
| D000377 | Agnosia |
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D010468 | Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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|
| CISB group | Other | Ultrasonography guided interscalene brachial plexus block was done with a 5 cm block needle and catheter was inserted. (Stimuplex®A, B Braun Medical, Bethlehem, PA). 10 mL 0.375 % ropivacaine was injected through the catheter. 0.2 % ropivacaine (4 ml/hour with patient selected bolus 5 ml, lockout 60 minutes) was injected through the continuous brachial plexus block catheter. |
|
| Postoperative 24, 48 hour |
| Occurrence of adverse effects | Nausea, vomiting, numbness, tingling sense, motor and sensory blockade | Postoperative 24, 48 hour |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D010146 | Pain |