Osteoarthritis Clinical Trial
Official title:
A Randomized Study of Single Shot vs 24hr vs 48hr Continuous Adductor Canal Block for Postoperative Analgesia After Total Knee Arthroplasty
NCT number | NCT02730728 |
Other study ID # | 823219 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | November 1, 2015 |
Est. completion date | January 1, 2017 |
Verified date | May 2018 |
Source | University of Pennsylvania |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is to compare a single shot block, 24 hours, and 48 hour continuous catheter nerve block done via the adductor canal method in adult patients who have under gone total knee arthroplasty. Visual analogue scores, opioid consumption, time to up and go, ambulation, manual muscle tests, and Tinetti scores up to 72 hours post operatively will be used for comparison.
Status | Completed |
Enrollment | 159 |
Est. completion date | January 1, 2017 |
Est. primary completion date | June 30, 2016 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Patients scheduled for primary total knee arthroplasty - American Society of Anesthesiologists (ASA) physical status I -III - mentally competent and able to give consent for enrollment in the study Exclusion Criteria: - Patient younger than 18 years old - Allergy to local anesthetics, systemic opioids (fentanyl, morphine, hydromorphone, and any of the drugs included in the multimodal perioperative pain protocol (MP3) - Revision surgery - Impaired kidney functions and patient with coagulopathy - Chronic pain syndromes; Patients will be defined to have chronic pain if they are using regular daily doses of systemic narcotics for the past 3 months prior to the surgery - BMI of 40 or more - Pregnancy (positive urine pregnancy test result in Preop area on morning of surgery) |
Country | Name | City | State |
---|---|---|---|
United States | University of Pennsylvania | Philadelphia | Pennsylvania |
Lead Sponsor | Collaborator |
---|---|
University of Pennsylvania |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Patients With Severe Pain at 48 Hours After Surgery | The proportion of patients reporting severe pain, defined as pain score (7-10) through the second postoperative day | 48 hours | |
Secondary | Pain Scores at 48 Hours After Surgery | Average pain scores 48 hours after surgery. The scale used is the numeric rating pain scale. The scale values range from 0-10/ where 0 is no pain and 10 is the worst pain possible imagined on this scale | 48 hours | |
Secondary | Functional Recovery After Surgery | Cumulative ambulation distance in the second postoperative day measured in feet | 48 hours | |
Secondary | Patient-oriented Outcomes | Quality of recovery (QoR)-9 score on the second day after surgery. This score is a result of a 9 item questionnaire. Answers to each item/question is scored as (0-1-2). The wort score a patient get in the questionnaire is 0 and the best score is 18, depending on the answer of each of the 9 questions and the sum of the scores of these answers | 48 hours |
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