Status:

NOT_YET_RECRUITING

Effect of Local Anesthetic Concentration on Rebound Pain: A Randomized Control Study

Lead Sponsor:

University of Virginia

Conditions:

Rebound Pain

Shoulder Arthroplasty

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

Randomized control study that compares different concentrations of local anesthetic to investigate whether a lower concentration of local anesthetic would contribute to lower rebound pain scores at 24...

Eligibility Criteria

Inclusion

  • Total shoulder replacement patients (anatomic and reverse)
  • Adult patients (greater than or equal to 18 years)
  • Any gender
  • Any race

Exclusion

  • \- Chronic Pain diagnoses including:
  • substance/opioid use disorder
  • complex regional pain syndromes
  • fibromyalgia
  • Daily persistent opioid use spanning 3 months prior to surgery date
  • Allergy to local anesthetics or NSAIDS
  • Respiratory pathologies including:
  • CPAP- non-compliant / untreated obstructive sleep apnea
  • COPD
  • Restrictive lung disease (pulmonary fibrosis, interstitial pneumonia, etc)
  • Contralateral diaphragm dysfunction
  • BMI \> 40
  • Ipsilateral extremity pre-existing nerve injury
  • GFR \< 60
  • NSAID contraindications
  • Inability to follow up
  • Revision surgery
  • Patients requesting block as primary (avoidance of general anesthesia)
  • Need or request for brachial plexus catheter or liposomal bupivacaine
  • Vulnerable populations (pregnancy, incarceration, etc)
  • non-English speaking

Key Trial Info

Start Date :

January 1 2026

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

January 1 2029

Estimated Enrollment :

168 Patients enrolled

Trial Details

Trial ID

NCT07146685

Start Date

January 1 2026

End Date

January 1 2029

Last Update

August 28 2025

Active Locations (1)

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UVA Health

Charlottesville, Virginia, United States, 22903