Interscalene Block With Low-dose IV vs. Perineural Dexamethasone for Shoulder Arthroscopy

Exclusion Criteria

• •Contraindication to interscalene block
• •Known allergy/sensitivity to any study medications
• •Having taken daily steroids for 10 days or longer anytime during the past year
• •Body mass index \<18 or \>40
• •History of uncontrolled nausea and vomiting with opioids or severe post-op nausea and vomiting (to prevent any need for higher doses of IV dexamethasone)
• •Non-English speaking
• •Revision procedures
• •Additional procedures (e.g., removal of hardware, procedures involving other areas, etc.)
• •Planned open procedures
• •History of diabetes
• •Arthroscopic irrigation and debridement secondary to infection
• •Peripheral neuropathies affecting the operative extremity
• •Having taken opiates daily for 10 days or longer immediately preceding surgery, 3 times a week for greater than 3 months anytime in the past year, or currently taking for anything other than shoulder pain