Role of CPAP in preventing respiratory side-effects during ISB
Research type
Research Study
Full title
Peri-operative role of Continuous Positive Airway Pressure (CPAP) in mitigating unavoidable respiratory side effects associated with interscalene brachial plexus block for elective shoulder surgery.
IRAS ID
232279
Contact name
Nigel Bedforth
Contact email
Sponsor organisation
Nottingham University Hospitals NHS Trust Research and Innovation Department
Clinicaltrials.gov Identifier
sponsor , 17AN010; research registry number, researchregistry3073
Duration of Study in the UK
0 years, 5 months, 0 days
Research summary
Patients commonly undergo shoulder surgery using regional anaesthesia, when the shoulder and the upper limb is made numb with local anaesthetic. This allows patients to stay awake for the procedure and avoids complications associated with a general anaesthetic. The interscalene brachial plexus nerve block is however associated with some unavoidable side effects. One of these is temporary diaphragmatic paralysis. The majority of people undergoing this form of anaesthetic will notice a difference in their breathing. Some patients may find this unsettling and it can lead to lower levels of oxygen in the blood especially in obese patients or those with underlying lung disease. We want to assess whether the use of a Continuous Positive Airway Pressure device during the operation mitigates these side effects as well as patients attitudes to the use of a breathing aid post operatively.
REC name
West of Scotland REC 4
REC reference
18/WS/0033
Date of REC Opinion
5 Mar 2018
REC opinion
Further Information Favourable Opinion