Postoperative Pain After Intravenous Vitamin C Injection for Arthroscopic Rotator Cuff Repair

NCT ID: NCT02992028

Last Updated: 2016-12-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

54 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-12-31

Study Completion Date

2017-05-31

Brief Summary

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1. Treatment of rotator cuff tear The rotator cuff tear is the most demanding part of the shoulder surgery. Rotator cuff degeneration is thought to be the largest cause of rotator cuff tear.

As the field of shoulder surgery evolves, the diagnosis and surgical treatment of the rotator cuff tear was increased. Repair and reconstruction of the rotator cuff tear annually more than 300,000 have been performed according to US statistics.

Rotator cuff repair is a successful procedure, both objectively and subjectively, with regard to pain relief and functional outcome.
2. postoperative pain management after rotator cuff repair Shoulder surgeries are associated with a level of postoperative pain requiring opioid use for several days. The opioid requirements after shoulder surgery have been reported to be similar to those required after gastrectomy or thoracotomy, which might cause several opioid-related side effects, such as nausea and vomiting, pruritus, urinary distention, and constipation. Although the introduction of arthroscopy has reduced postoperative pain, a considerable proportion of patients suffer from moderate to severe acute postoperative pain, as its benefit is typically apparent after a few days. Consequently, proactive pain control is also required during the first 24-48 h after arthroscopic shoulder surgeries, just like in open surgeries. Adequate pain management during the immediate postoperative period is not only important for patient satisfaction and well-being, but also for facilitating postoperative rehabilitation and preventing persistent postsurgical pain.

Recently preoperative intravenous vitamin C has shown to increase the analgesic effect after otorhinolaryngologic surgery and thoracic surgery. Vitamin C is a water-soluble and known to have anti oxidant action, and fewer side effects.

However, there is no report about the analgesic effect of vitamin C after arthroscopic rotator cuff repair.

The purpose of this trial was to compare the effects of a intravenous vitamin C injection on postoperative pain and opioid consumption versus non-treated group after arthroscopic rotator cuff repair.

Detailed Description

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Conditions

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Rotator Cuff Tear

Keywords

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Rotator cuff repair Vitamin C postoperative pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Intravenous vitamin C injection

During the first 30 min after beginning of the rotator cuff repair, treatment group received infusion of 3 g vitamin C (ascorbic acid) in 500 ml of Ringer.

Group Type EXPERIMENTAL

Intravenous Nutrition (Vitamins) injection

Intervention Type DRUG

Intravenous saline injection

During the first 30 min after beginning of the rotator cuff repair, sham group received 6 ml normal saline in 500 ml of Ringer.

Group Type PLACEBO_COMPARATOR

Intravenous Saline injection

Intervention Type DRUG

Interventions

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Intravenous Saline injection

Intervention Type DRUG

Intravenous Nutrition (Vitamins) injection

Intervention Type DRUG

Other Intervention Names

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Preoperative Vitamin C injection Preoperative Saline injection

Eligibility Criteria

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Inclusion Criteria

* Rotator cuff tear patients undergoing arthroscopic rotator cuff tear

Exclusion Criteria

* age \<45 or \>80
* allergies to medications used in the study
* history of renal diseases, a coagulation abnormality, a hepatic disease, or drug abuse
* definite radiographic evidence of osteoarthritis of the glenohumeral joint
* inflammatory arthritis including rheumatoid arthritis
* a history of acute trauma
* systemic conditions associated with chronic pain
* a history of infection
* an inability to understand the questionnaires
Minimum Eligible Age

45 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Himchan Hospital

OTHER

Sponsor Role lead

Responsible Party

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Ji Wan Park

Director

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ji Wan Park, M.D.

Role: STUDY_CHAIR

Himchan Hospital

Locations

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Himchan Hopital

Seoul, Seoul, South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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Ji Wan Park, M.D.

Role: CONTACT

Phone: +82-1090082712

Email: [email protected]

Facility Contacts

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Ji Wan Park, M.D.

Role: primary

References

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Sadeghpour A, Alizadehasl A, Kyavar M, Sadeghi T, Moludi J, Gholizadeh F, Totonchi Z, Ghadrdoost B. Impact of vitamin C supplementation on post-cardiac surgery ICU and hospital length of stay. Anesth Pain Med. 2015 Feb 19;5(1):e25337. doi: 10.5812/aapm.25337. eCollection 2015 Feb.

Reference Type BACKGROUND
PMID: 25789244 (View on PubMed)

Jo CH, Shin JS, Huh J. Multimodal analgesia for arthroscopic rotator cuff repair: a randomized, placebo-controlled, double-blind trial. Eur J Orthop Surg Traumatol. 2014 Apr;24(3):315-22. doi: 10.1007/s00590-013-1208-z. Epub 2013 Mar 14.

Reference Type BACKGROUND
PMID: 23494779 (View on PubMed)

Jeon Y, Park JS, Moon S, Yeo J. Effect of Intravenous High Dose Vitamin C on Postoperative Pain and Morphine Use after Laparoscopic Colectomy: A Randomized Controlled Trial. Pain Res Manag. 2016;2016:9147279. doi: 10.1155/2016/9147279. Epub 2016 Oct 30.

Reference Type BACKGROUND
PMID: 27872555 (View on PubMed)

Ayatollahi V, Dehghanpour Farashah S, Behdad S, Vaziribozorg S, Rabbani Anari M. Effect of intravenous vitamin C on postoperative pain in uvulopalatopharyngoplasty with tonsillectomy. Clin Otolaryngol. 2017 Feb;42(1):139-143. doi: 10.1111/coa.12684. Epub 2016 Jun 7.

Reference Type BACKGROUND
PMID: 27219124 (View on PubMed)

Hasanzadeh Kiabi F, Soleimani A, Habibi MR, Emami Zeydi A. Can vitamin C be used as an adjuvant for managing postoperative pain? A short literature review. Korean J Pain. 2013 Apr;26(2):209-10. doi: 10.3344/kjp.2013.26.2.209. Epub 2013 Apr 3. No abstract available.

Reference Type BACKGROUND
PMID: 23614091 (View on PubMed)

Coghlan JA, Forbes A, Bell SN, Buchbinder R. Efficacy and safety of a subacromial continuous ropivacaine infusion for post-operative pain management following arthroscopic rotator cuff surgery: a protocol for a randomised double-blind placebo-controlled trial. BMC Musculoskelet Disord. 2008 Apr 22;9:56. doi: 10.1186/1471-2474-9-56.

Reference Type BACKGROUND
PMID: 18430210 (View on PubMed)

Other Identifiers

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HCH 112294-01-201610-01

Identifier Type: -

Identifier Source: org_study_id