ISB With SSNB & ANB

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age20+
SponsorChuncheon Sacred Heart Hospital

About this trial

This study is a prospective, randomized, double-blind trial comparing patients who underwent arthroscopic rotator cuff repair and received an interscalene brachial plexus block (9 ml of 0.75% ropivacaine, 3 ml for each trunk) combined with suprascapular nerve block and axillary nerve block (each with 10 ml of 0.75% ropivacaine) versus those who received an interscalene brachial plexus block (9 ml of 0.75% ropivacaine, 3 ml for each trunk) combined with placebo suprascapular and axillary nerve blocks (each with 10 ml of 0.9% saline).

The study will compare subjective pain scores (VAS score) and patient satisfaction preoperatively and at 1, 3, 6, 12, 18, 24, 36, and 48 hours postoperatively. Additionally, 5 ml of venous blood will be collected preoperatively and at 1, 6, 12, 24, and 48 hours postoperatively to analyze and compare serum levels of cortisol, IL-6, IL-8, IL-1β, substance P, serotonin, β-endorphin, and norepinephrine.

Eligibility criteria

Qualifiers

a definite rotator cuff tear that needed repair seen on preoperative magnetic resonancce imaging (MRI)

acceptance of arthroscopic surgery including rotator cuff repair

age same as or more than 20 years

acceptance of preemptive regional block and PCA, and blood testing

Disqualifiers

did not undergo arthroscopic rotator cuff repair

stopped PCA before 48 hours postoperatively because of associated side effects

a history of previous ipsilateral shoulder operation or fracture

a concomitant neurologic disorder around the shoulder

Trial design

Treatments tested in this trial

  • Preemptive ultrasound-guided interscalene brachial plexus block and suprascapular nerve block and axillary nerve block

Treatment groups

100 Participants
are divided into 2 treatment groups