Trial Outcomes & Findings for The Effect of Dexamethasone on the Duration of Interscalene Nerve Blocks With Ropivacaine or Bupivacaine (NCT NCT00801138)

NCT ID: NCT00801138

Last Updated: 2017-05-01

Results Overview

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

218 participants

Primary outcome timeframe

Postoperative day 1, 2 and 3

Results posted on

2017-05-01

Participant Flow

Participant milestones

Participant milestones
Measure
Group 1
Group 1 Ropivacaine: 30 ml 0.5% ropivacaine plus 2 ml 0.9% saline for interscalene block Ropivacaine Placebo: saline
Group 2
Group 2 Bupivacaine: 30 ml 0.5% bupivacaine plus 2 ml 0.9% saline Bupivacaine Placebo: saline
Group 3
Group 3 Ropivacaine and dexamethasone: Ropivacaine plus dexamethasone Ropivacaine Dexamethasone: steroid
Group 4
Group 4 Bupivacaine and steroid: Bupivacaine plus dexamethasone Bupivacaine Dexamethasone: steroid
Overall Study
STARTED
54
56
54
54
Overall Study
COMPLETED
54
56
54
54
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The Effect of Dexamethasone on the Duration of Interscalene Nerve Blocks With Ropivacaine or Bupivacaine

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group 1
n=54 Participants
Group 1 Ropivacaine: 30 ml 0.5% ropivacaine plus 2 ml 0.9% saline for interscalene block Ropivacaine Placebo: saline
Group 2
n=56 Participants
Group 2 Bupivacaine: 30 ml 0.5% bupivacaine plus 2 ml 0.9% saline Bupivacaine Placebo: saline
Group 3
n=54 Participants
Group 3 Ropivacaine and dexamethasone: Ropivacaine plus dexamethasone Ropivacaine Dexamethasone: steroid
Group 4
n=54 Participants
Group 4 Bupivacaine and steroid: Bupivacaine plus dexamethasone Bupivacaine Dexamethasone: steroid
Total
n=218 Participants
Total of all reporting groups
Age, Continuous
55 years
n=5 Participants
60 years
n=7 Participants
59 years
n=5 Participants
58 years
n=4 Participants
58 years
n=21 Participants
Sex: Female, Male
Female
21 Participants
n=5 Participants
19 Participants
n=7 Participants
21 Participants
n=5 Participants
22 Participants
n=4 Participants
83 Participants
n=21 Participants
Sex: Female, Male
Male
33 Participants
n=5 Participants
37 Participants
n=7 Participants
33 Participants
n=5 Participants
32 Participants
n=4 Participants
135 Participants
n=21 Participants

PRIMARY outcome

Timeframe: Postoperative day 1, 2 and 3

Outcome measures

Outcome measures
Measure
Group 1
n=54 Participants
Group 1 Ropivacaine: 30 ml 0.5% ropivacaine plus 2 ml 0.9% saline for interscalene block Ropivacaine Placebo: saline
Group 2
n=56 Participants
Group 2 Bupivacaine: 30 ml 0.5% bupivacaine plus 2 ml 0.9% saline Bupivacaine Placebo: saline
Group 3
n=54 Participants
Group 3 Ropivacaine and dexamethasone: Ropivacaine plus dexamethasone Ropivacaine Dexamethasone: steroid
Group 4
n=54 Participants
Group 4 Bupivacaine and steroid: Bupivacaine plus dexamethasone Bupivacaine Dexamethasone: steroid
The Duration of the Interscalene Nerve Block Which is Time to First Administration of Pain Medication After Block
11.8 hours
Interval 9.7 to 13.8
14.8 hours
Interval 11.8 to 18.1
22.2 hours
Interval 18.0 to 28.6
22.4 hours
Interval 20.5 to 29.3

SECONDARY outcome

Timeframe: Postoperative day 1, 2 and 3

Outcome measures

Outcome measures
Measure
Group 1
n=54 Participants
Group 1 Ropivacaine: 30 ml 0.5% ropivacaine plus 2 ml 0.9% saline for interscalene block Ropivacaine Placebo: saline
Group 2
n=56 Participants
Group 2 Bupivacaine: 30 ml 0.5% bupivacaine plus 2 ml 0.9% saline Bupivacaine Placebo: saline
Group 3
n=54 Participants
Group 3 Ropivacaine and dexamethasone: Ropivacaine plus dexamethasone Ropivacaine Dexamethasone: steroid
Group 4
n=54 Participants
Group 4 Bupivacaine and steroid: Bupivacaine plus dexamethasone Bupivacaine Dexamethasone: steroid
Time to First Report of Pain
11.9 hours
Interval 9.2 to 13.8
14.7 hours
Interval 13.4 to 17.9
22.3 hours
Interval 18.0 to 27.2
25.7 hours
Interval 21.7 to 29.2

SECONDARY outcome

Timeframe: Postoperative day 1, 2 and 3

Visual Analogue Scale (VAS) pain scale is used to describe the severity or intensity of pain. It ranges from 0 to 10. Zero indicates"no pain at all" and ten indicates "worst pain imaginable." , The higher of the score, the worse of the pain.

Outcome measures

Outcome measures
Measure
Group 1
n=54 Participants
Group 1 Ropivacaine: 30 ml 0.5% ropivacaine plus 2 ml 0.9% saline for interscalene block Ropivacaine Placebo: saline
Group 2
n=56 Participants
Group 2 Bupivacaine: 30 ml 0.5% bupivacaine plus 2 ml 0.9% saline Bupivacaine Placebo: saline
Group 3
n=54 Participants
Group 3 Ropivacaine and dexamethasone: Ropivacaine plus dexamethasone Ropivacaine Dexamethasone: steroid
Group 4
n=54 Participants
Group 4 Bupivacaine and steroid: Bupivacaine plus dexamethasone Bupivacaine Dexamethasone: steroid
Median Maximum VAS Pain Scores at Rest
5 units on a scale
Interval 3.0 to 7.0
5 units on a scale
Interval 3.0 to 7.0
4 units on a scale
Interval 2.0 to 6.0
3 units on a scale
Interval 0.0 to 5.0

SECONDARY outcome

Timeframe: Postoperative day 1, 2 and 3

Outcome measures

Outcome measures
Measure
Group 1
n=54 Participants
Group 1 Ropivacaine: 30 ml 0.5% ropivacaine plus 2 ml 0.9% saline for interscalene block Ropivacaine Placebo: saline
Group 2
n=56 Participants
Group 2 Bupivacaine: 30 ml 0.5% bupivacaine plus 2 ml 0.9% saline Bupivacaine Placebo: saline
Group 3
n=54 Participants
Group 3 Ropivacaine and dexamethasone: Ropivacaine plus dexamethasone Ropivacaine Dexamethasone: steroid
Group 4
n=54 Participants
Group 4 Bupivacaine and steroid: Bupivacaine plus dexamethasone Bupivacaine Dexamethasone: steroid
Total Three-day Opioid Consumption in Oral Oxycodone Equivalent
75 milligrams
Interval 45.0 to 153.0
85 milligrams
Interval 51.0 to 118.0
79 milligrams
Interval 45.0 to 153.0
60 milligrams
Interval 47.0 to 105.0

Adverse Events

Group 1

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Group 2

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Group 3

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Group 4

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Daniel I Sessler, MD

Cleveland Clinic Foundation

Phone: 2164458396

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place