Opioid-Free Shoulder Arthroplasty
Condition: Opioid Use; Shoulder Osteoarthritis; Avascular Necrosis; Rotator Cuff Tear; Arthritis;Inflammatory
MeSH terms: Arthritis; Necrosis; Rotator Cuff Injuries
Intervention: Gabapentin; Celecoxib; toradol; acetaminophen; regional block; propofol; IV lidocaine; rocuronium; vecuronium; sevoflurane; desflurane
Intervention description: opioid-free treatment pathway for shoulder arthroplasty with a focus on perioperative pain control and postoperative symptoms from treatment; opioid-free treatment pathway for shoulder arthroplasty with a focus on perioperative pain control and postoperative symptoms from treatment; opioid-free treatment pathway for shoulder arthroplasty with a focus on perioperative pain control and postoperative symptoms from treatment; opioid-free treatment pathway for shoulder arthroplasty with a focus on perioperative pain control and postoperative symptoms from treatment; opioid-free treatment pathway for shoulder arthroplasty with a focus on perioperative pain control and postoperative symptoms from treatment; opioid-free treatment pathway for shoulder arthroplasty with a focus on perioperative pain control and postoperative symptoms from treatment; opioid-free treatment pathway for shoulder arthroplasty with a focus on perioperative pain control and postoperative symptoms from treatment; opioid-free treatment pathway for shoulder arthroplasty with a focus on perioperative pain control and postoperative symptoms from treatment; opioid-free treatment pathway for shoulder arthroplasty with a focus on perioperative pain control and postoperative symptoms from treatment; opioid-free treatment pathway for shoulder arthroplasty with a focus on perioperative pain control and postoperative symptoms from treatment; opioid-free treatment pathway for shoulder arthroplasty with a focus on perioperative pain control and postoperative symptoms from treatment
Intervention MeSH terms: Acetaminophen; Celecoxib; Ketorolac Tromethamine; Lidocaine; Gabapentin; Propofol; Sevoflurane; Desflurane; Rocuronium; Vecuronium Bromide
Phase: Phase 4
Study type: Interventional
Primary purpose: Treatment
Allocation: Non-Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Enrollment: 86.0
Sex: All
Minimum age: 50 Years
Healthy volunteers: No
Keywords: Primary Total Shoulder Arthroplasty; Reverse Total Shoulder Arthroplasty

Summary:

      Purpose of Study:

      To identify and provide a safe, opioid-free treatment pathway for shoulder arthroplasty with
      a focus on perioperative pain control and postoperative symptoms from treatment
    

Eligibility criteria:

        Inclusion Criteria:

          1. Patient undergoing elective primary total shoulder or reverse total shoulder
             arthroplasty for osteoarthritis, avascular necrosis, cuff tear arthropathy, or
             inflammatory arthritis etiologies

          2. Age greater than or equal to 50.

        Exclusion Criteria:

          1. Revision total shoulder arthroplasty

          2. Chronic opioid therapy - per investigator discretion

          3. Liver or renal insufficiency - per investigator discretion

          4. Arthroplasty for fracture

          5. Sickle cell disease

          6. Workers compensation

          7. Inability to receive block

          8. Intervention Arm Only: Creatinine clearance less than 30 mL/min

          9. Intervention Arm Only: Allergy to non-steroidal anti-inflammatory medications
             (NSAIDs).