Dexamethasone and Bupivacaine in a Shoulder Nerve Block: How It Affects Blood Levels
Official title: Effect of Dexamethasone on Plasma Levels of Bupivacaine and Dexamethasone Following a Single-injection Interscalene Nerve Block: A Randomized Controlled Study
Run by Pontificia Universidad Catolica de Chile · NCT07324499 · Data updated 2026-11-12
This study tests whether giving dexamethasone with a shoulder block affects the blood level of bupivacaine after a single injection.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 90 Years |
| Sex | All |
| Enrollment | 40 (estimated) |
| Sponsor | Pontificia Universidad Catolica de Chile Academic / other |
| Locations | 1 site (Santiago) |
| Status | Recruiting |
| Started | May 19, 2026 |
| Main results expected | December 1, 2026 |
| Study ends | December 1, 2027 |
| Registry record updated | August 12, 2026 |
| Trial ID | NCT07324499 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with ASA I–II, BMI 20–34 kg/m2, undergoing shoulder surgery requiring a single-shot interscalene block.
✕Probably not a fit
Patients who do not experience differences in plasma bupivacaine levels or analgesia with the route of dexamethasone administration may see no personal benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized, double-blind trial compares plasma concentrations of bupivacaine after a single-shot interscalene nerve block when dexamethasone is given perineurally versus intravenously. Adult patients undergoing shoulder surgery with ASA I–II and BMI 20–34 kg/m2 are included, and those with certain medical conditions or allergies are excluded. The study aims to clarify how dexamethasone delivery route influences systemic absorption and potential analgesic effects. The lead sponsor is Pontificia Universidad Catolica de Chile, with sites at Red Salud UCChristus in Santiago.
Why it matters
Potential benefit: If successful, the findings could inform safer and more effective use of dexamethasone to prolong analgesia while minimizing systemic exposure.
How similar studies have gone: Previous systematic reviews suggest perineural dexamethasone can extend analgesia, but direct comparisons of perineural versus intravenous administration on systemic absorption are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: \- ASA I-II patients, with a body mass index (BMI) between 20 and 34 kg/m2 scheduled for shoulder surgery requiring single-needle interscalene block Exclusion Criteria: \- Chronic opioid use, liver failure, kidney failure, allergy to protocol drugs
Where it's running
-
Red Salud UCChristus
Santiago, Chile Recruiting
Study contacts
- Study coordinator: Andrea Araneda, MD
- Email: andreaaraneda10@gmail.com
- Phone: 56955043270
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.