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N/A N=30 Randomized Quadruple-blind Treatment

The Effect of Interscalene Peripheral Nerve Block With 0.25% Bupivacaine vs 0.125% Bupivacaine on Lung Function

Diaphragm Paralysis

Enrolled (actual)
30
Serious AEs
0.0%
Results posted
Dec 2013
Primary outcome: Primary: Abnormal Lung Function — 11; 3 participants w/ abnormal diaphragm fxn

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
interscalene nerve block with 0.25% bupivacaine (Drug); interscalene block with 0.125% bupivacaine (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
University of Utah
Primary completion
Feb 2010

Outcome Measures

OutcomeResultp-value
PRIMARY
Abnormal Lung Function
11; 3
SECONDARY
Pain Relief
0; 0.7
SECONDARY
Satisfaction With Pain Control
6.6; 6.6

Summary

Peripheral nerve blocks are used to provide post-operative pain relief. Nerve blocks in the neck, in the interscalene area, provide pain relief after shoulder surgery but can cause temporary weakness or paralysis of the diaphragm. The investigators hypothesized that a lower concentration of bupivacaine would cause less weakness of the diaphragm but still provide good pain relief. Lung function and pain control was studied after interscalene peripheral nerve block with 20 milliliters of 0.25% bupivacaine or 0.125% bupivacaine.

Eligibility Criteria

Inclusion Criteria

  • patients presenting for outpatient rotator cuff repair
  • adults
  • English as the primary language

Exclusion Criteria

  • evidence of peripheral nerve damage on affected side
  • refusal of peripheral nerve block
  • pregnant women
  • lung disease, including obstructive sleep apnea
  • chronic opioid use
  • mental handicap
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01429584). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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