Dexmedetomidine Added to Ropivacaine Single Shot vs Continuous Interscalene Nerve Block
Status:
Recruiting
Trial end date:
2023-11-23
Target enrollment:
Participant gender:
Summary
Arthroscopic shoulder surgery is increasingly performed in an outpatient setting and
post-operative pain management is often a real challenge as those surgeries are well
recognized for their high level of pain which often affects physical rehabilitation. The
interscalene block is a largely used anesthetic technique to perform these surgeries whilst
avoiding general anesthesia (GA) and to provide postoperative analgesia. However, the painful
period often exceeds the duration of a single shot block, thus affecting patient recovery.
Some specialized centers use a continuous catheter and elastomeric pump in order to prolong
the duration of analgesia. However, several logistical, professional and financial
constraints limit the use of these catheters and pumps in a great number of outpatient
centers. On the other hand, perineural dexmedetomidine is increasingly used as an adjuvant to
improve block onset, analgesia duration and patient satisfaction.
The use of adjuvants such as perineural dexmedetomidine added to a single shot interscalene
block appears to be an interesting option to prolong postoperative analgesia without the
limitations imposed by a continuous catheter and elastomeric pumps in arthroscopic shoulder
surgeries.