Trial Outcomes & Findings for Efficacy of Continuous Infusion Ropivacaine Interscalene Blocks (NCT NCT02462382)

NCT ID: NCT02462382

Last Updated: 2020-12-22

Results Overview

Shoulder Pain as measured by Visual Analog Scale, score 0-10. 0 equals no pain, 10 equals severe pain. Data not available for each tear size, all attempts were made to locate.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

51 participants

Primary outcome timeframe

During the first two Post Operative Days.

Results posted on

2020-12-22

Participant Flow

Potential subjects were asked to participate during their clinic visits.

Participant milestones

Participant milestones
Measure
Ropivacaine Infusion
270cc of Ropivacaine infusion at 5cc per hour. All patients will receive a reservoir for their catheters containing 280cc of either ropivacaine or saline that will infuse at a rate of 6cc per hour. The reservoirs will be attached in the operating room at the completion of the rotator cuff repair. Patients will be randomized intraoperative to receive either the ropivacaine or the saline. Arthroscopic Rotator Cuff Repair: During arthroscopic rotator cuff surgery, the surgeon inserts a small camera, called an arthroscope, into your shoulder joint. The camera displays pictures on a television screen, and your surgeon uses these images to guide miniature surgical instruments to repair the torn ligament. Ropivacaine
Saline Infusion
270cc of Normal Saline infusion at 5cc per hour. All patients will receive a reservoir for their catheters containing 280cc of either ropivacaine or saline that will infuse at a rate of 6cc per hour. The reservoirs will be attached in the operating room at the completion of the rotator cuff repair. Patients will be randomized intraoperative to receive either the ropivacaine or the saline. Arthroscopic Rotator Cuff Repair: During arthroscopic rotator cuff surgery, the surgeon inserts a small camera, called an arthroscope, into your shoulder joint. The camera displays pictures on a television screen, and your surgeon uses these images to guide miniature surgical instruments to repair the torn ligament. Saline
Overall Study
STARTED
24
27
Overall Study
COMPLETED
24
27
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ropivacaine Infusion
n=24 Participants
270cc of Ropivacaine infusion at 5cc per hour. All patients will receive a reservoir for their catheters containing 280cc of either ropivacaine or saline that will infuse at a rate of 6cc per hour. The reservoirs will be attached in the operating room at the completion of the rotator cuff repair. Patients will be randomized intraoperative to receive either the ropivacaine or the saline. Arthroscopic Rotator Cuff Repair: During arthroscopic rotator cuff surgery, the surgeon inserts a small camera, called an arthroscope, into your shoulder joint. The camera displays pictures on a television screen, and your surgeon uses these images to guide miniature surgical instruments to repair the torn ligament. Ropivacaine
Saline Infusion
n=27 Participants
270cc of Normal Saline infusion at 5cc per hour. All patients will receive a reservoir for their catheters containing 280cc of either ropivacaine or saline that will infuse at a rate of 6cc per hour. The reservoirs will be attached in the operating room at the completion of the rotator cuff repair. Patients will be randomized intraoperative to receive either the ropivacaine or the saline. Arthroscopic Rotator Cuff Repair: During arthroscopic rotator cuff surgery, the surgeon inserts a small camera, called an arthroscope, into your shoulder joint. The camera displays pictures on a television screen, and your surgeon uses these images to guide miniature surgical instruments to repair the torn ligament. Saline
Total
n=51 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=24 Participants
0 Participants
n=27 Participants
0 Participants
n=51 Participants
Age, Categorical
Between 18 and 65 years
23 Participants
n=24 Participants
26 Participants
n=27 Participants
49 Participants
n=51 Participants
Age, Categorical
>=65 years
1 Participants
n=24 Participants
1 Participants
n=27 Participants
2 Participants
n=51 Participants
Sex: Female, Male
Female
9 Participants
n=24 Participants
9 Participants
n=27 Participants
18 Participants
n=51 Participants
Sex: Female, Male
Male
15 Participants
n=24 Participants
18 Participants
n=27 Participants
33 Participants
n=51 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Mean Visual Analog Scale Score
POD 0 1cm incision
0.3 Units on a scale
n=24 Participants
0 Units on a scale
n=27 Participants
0.3 Units on a scale
n=51 Participants
Mean Visual Analog Scale Score
POD 0 2cm incision
0.9 Units on a scale
n=24 Participants
0.8 Units on a scale
n=27 Participants
0.85 Units on a scale
n=51 Participants
Mean Visual Analog Scale Score
POD 0 3cm incision
0.23 Units on a scale
n=24 Participants
0.24 Units on a scale
n=27 Participants
0.23 Units on a scale
n=51 Participants

PRIMARY outcome

Timeframe: During the first two Post Operative Days.

Population: The study did not compare patients based on tear/incision size. All attempts were made to locate this data but it is unavailable.

Shoulder Pain as measured by Visual Analog Scale, score 0-10. 0 equals no pain, 10 equals severe pain. Data not available for each tear size, all attempts were made to locate.

Outcome measures

Outcome measures
Measure
Ropivacaine Infusion
n=24 Participants
270cc of Ropivacaine infusion at 5cc per hour. All patients will receive a reservoir for their catheters containing 280cc of either ropivacaine or saline that will infuse at a rate of 6cc per hour. The reservoirs will be attached in the operating room at the completion of the rotator cuff repair. Patients will be randomized intraoperative to receive either the ropivacaine or the saline. Arthroscopic Rotator Cuff Repair: During arthroscopic rotator cuff surgery, the surgeon inserts a small camera, called an arthroscope, into your shoulder joint. The camera displays pictures on a television screen, and your surgeon uses these images to guide miniature surgical instruments to repair the torn ligament. Ropivacaine
Saline Infusion
n=27 Participants
270cc of Normal Saline infusion at 5cc per hour. All patients will receive a reservoir for their catheters containing 280cc of either ropivacaine or saline that will infuse at a rate of 6cc per hour. The reservoirs will be attached in the operating room at the completion of the rotator cuff repair. Patients will be randomized intraoperative to receive either the ropivacaine or the saline. Arthroscopic Rotator Cuff Repair: During arthroscopic rotator cuff surgery, the surgeon inserts a small camera, called an arthroscope, into your shoulder joint. The camera displays pictures on a television screen, and your surgeon uses these images to guide miniature surgical instruments to repair the torn ligament. Saline
Mean Visual Analog Scale
POD1 1cm incision
3.5 units on a scale
Interval 2.2 to 4.8
5.9 units on a scale
Interval 5.0 to 6.9
Mean Visual Analog Scale
POD 1 2cm incision
3.1 units on a scale
Interval 2.1 to 4.2
5.2 units on a scale
Interval 4.3 to 6.1
Mean Visual Analog Scale
POD 1 3cm incision
4.0 units on a scale
Interval 2.8 to 5.1
5.4 units on a scale
Interval 4.4 to 6.3
Mean Visual Analog Scale
POD 2 1cm incision
2.9 units on a scale
Interval 1.8 to 4.0
4.0 units on a scale
Interval 3.0 to 4.9
Mean Visual Analog Scale
POD 2 2cm incision
3.1 units on a scale
Interval 1.8 to 4.3
3.6 units on a scale
Interval 2.5 to 4.7
Mean Visual Analog Scale
POD 2 3 cm incision
3.8 units on a scale
Interval 2.8 to 4.9
4.1 units on a scale
Interval 3.1 to 5.1

SECONDARY outcome

Timeframe: Post Operative Days (POD) 3, 4 and 5.

Population: All attempts were made to locate the data for the number of participants with different incision/tear sizes, but the data are not available.

Visual Analog Scale pain scale score 0-10. 0 equals no pain, 10 equals severe pain.

Outcome measures

Outcome measures
Measure
Ropivacaine Infusion
n=24 Participants
270cc of Ropivacaine infusion at 5cc per hour. All patients will receive a reservoir for their catheters containing 280cc of either ropivacaine or saline that will infuse at a rate of 6cc per hour. The reservoirs will be attached in the operating room at the completion of the rotator cuff repair. Patients will be randomized intraoperative to receive either the ropivacaine or the saline. Arthroscopic Rotator Cuff Repair: During arthroscopic rotator cuff surgery, the surgeon inserts a small camera, called an arthroscope, into your shoulder joint. The camera displays pictures on a television screen, and your surgeon uses these images to guide miniature surgical instruments to repair the torn ligament. Ropivacaine
Saline Infusion
n=27 Participants
270cc of Normal Saline infusion at 5cc per hour. All patients will receive a reservoir for their catheters containing 280cc of either ropivacaine or saline that will infuse at a rate of 6cc per hour. The reservoirs will be attached in the operating room at the completion of the rotator cuff repair. Patients will be randomized intraoperative to receive either the ropivacaine or the saline. Arthroscopic Rotator Cuff Repair: During arthroscopic rotator cuff surgery, the surgeon inserts a small camera, called an arthroscope, into your shoulder joint. The camera displays pictures on a television screen, and your surgeon uses these images to guide miniature surgical instruments to repair the torn ligament. Saline
Mean Visual Analog Scale Score
POD 3 3cm incision
3.2 units on a scale
Interval 2.2 to 4.2
3.4 units on a scale
Interval 2.4 to 4.4
Mean Visual Analog Scale Score
POD 3 1cm incision
3.5 units on a scale
Interval 2.3 to 4.6
3.3 units on a scale
Interval 2.3 to 4.3
Mean Visual Analog Scale Score
POD 3 2cm incision
3.3 units on a scale
Interval 2.2 to 4.4
3.1 units on a scale
Interval 2.4 to 4.4
Mean Visual Analog Scale Score
POD 4 1 cm incision
2.6 units on a scale
Interval 1.6 to 3.7
3.5 units on a scale
Interval 2.5 to 4.5
Mean Visual Analog Scale Score
POD 4 2cm incision
2.6 units on a scale
Interval 1.5 to 3.7
3.2 units on a scale
Interval 2.3 to 4.1
Mean Visual Analog Scale Score
POD 4 3cm incision
2.8 units on a scale
Interval 1.6 to 4.1
3.3 units on a scale
Interval 2.4 to 4.3
Mean Visual Analog Scale Score
POD 5 1cm incision
2.3 units on a scale
Interval 1.4 to 3.2
3.0 units on a scale
Interval 2.1 to 3.9
Mean Visual Analog Scale Score
POD 5 2cm incision
2.2 units on a scale
Interval 1.2 to 3.2
2.6 units on a scale
Interval 1.7 to 3.5
Mean Visual Analog Scale Score
POD 5 3cm incision
2.8 units on a scale
Interval 1.7 to 3.8
3.0 units on a scale
Interval 2.0 to 4.0

SECONDARY outcome

Timeframe: Post operative days 1 and 2.

Outcome measures

Outcome measures
Measure
Ropivacaine Infusion
n=24 Participants
270cc of Ropivacaine infusion at 5cc per hour. All patients will receive a reservoir for their catheters containing 280cc of either ropivacaine or saline that will infuse at a rate of 6cc per hour. The reservoirs will be attached in the operating room at the completion of the rotator cuff repair. Patients will be randomized intraoperative to receive either the ropivacaine or the saline. Arthroscopic Rotator Cuff Repair: During arthroscopic rotator cuff surgery, the surgeon inserts a small camera, called an arthroscope, into your shoulder joint. The camera displays pictures on a television screen, and your surgeon uses these images to guide miniature surgical instruments to repair the torn ligament. Ropivacaine
Saline Infusion
n=27 Participants
270cc of Normal Saline infusion at 5cc per hour. All patients will receive a reservoir for their catheters containing 280cc of either ropivacaine or saline that will infuse at a rate of 6cc per hour. The reservoirs will be attached in the operating room at the completion of the rotator cuff repair. Patients will be randomized intraoperative to receive either the ropivacaine or the saline. Arthroscopic Rotator Cuff Repair: During arthroscopic rotator cuff surgery, the surgeon inserts a small camera, called an arthroscope, into your shoulder joint. The camera displays pictures on a television screen, and your surgeon uses these images to guide miniature surgical instruments to repair the torn ligament. Saline
Oxycodone Consumption
POD 1
5.8 Pills
Interval 4.1 to 7.5
8.3 Pills
Interval 6.6 to 10.0
Oxycodone Consumption
POD 2
5.8 Pills
Interval 4.1 to 7.6
7.9 Pills
Interval 6.2 to 9.5

SECONDARY outcome

Timeframe: Post Operative Days 3, 4 and 5.

Outcome measures

Outcome measures
Measure
Ropivacaine Infusion
n=24 Participants
270cc of Ropivacaine infusion at 5cc per hour. All patients will receive a reservoir for their catheters containing 280cc of either ropivacaine or saline that will infuse at a rate of 6cc per hour. The reservoirs will be attached in the operating room at the completion of the rotator cuff repair. Patients will be randomized intraoperative to receive either the ropivacaine or the saline. Arthroscopic Rotator Cuff Repair: During arthroscopic rotator cuff surgery, the surgeon inserts a small camera, called an arthroscope, into your shoulder joint. The camera displays pictures on a television screen, and your surgeon uses these images to guide miniature surgical instruments to repair the torn ligament. Ropivacaine
Saline Infusion
n=27 Participants
270cc of Normal Saline infusion at 5cc per hour. All patients will receive a reservoir for their catheters containing 280cc of either ropivacaine or saline that will infuse at a rate of 6cc per hour. The reservoirs will be attached in the operating room at the completion of the rotator cuff repair. Patients will be randomized intraoperative to receive either the ropivacaine or the saline. Arthroscopic Rotator Cuff Repair: During arthroscopic rotator cuff surgery, the surgeon inserts a small camera, called an arthroscope, into your shoulder joint. The camera displays pictures on a television screen, and your surgeon uses these images to guide miniature surgical instruments to repair the torn ligament. Saline
Oxycodone Consumption After the First Two Postoperative Days.
POD 3
5.5 Pills
Interval 3.9 to 7.0
5.8 Pills
Interval 4.2 to 7.5
Oxycodone Consumption After the First Two Postoperative Days.
POD 4
3.9 Pills
Interval 2.6 to 5.1
4.7 Pills
Interval 3.2 to 6.2
Oxycodone Consumption After the First Two Postoperative Days.
POD 5
3.6 Pills
Interval 2.4 to 4.8
3.7 Pills
Interval 2.4 to 5.1

Adverse Events

Ropivacaine Infusion

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

Saline Infusion

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

Randy Schwartzberg, MD

Orlando Orthopaedic Center

Phone: 407-254-2500

Results disclosure agreements

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