Post Operative Pain Control After Pediatric Hip Surgery

Status Terminated

Clinical Trial Summary

Hip surgery in children is painful and the optimal modality for managing post-operative pain has not been established. This prospective randomized controlled trail compares lumbar plexus catheter (LPC), lumbar epidural catheter (LEC) and continuous patient-controlled analgesia (PCA) with intravenous morphine.

Clinical Trial Description

Approximately 1 in 1,000 children born in the US have hip dislocation and 10 in 1,000 have hip subluxation requiring surgical intervention. Pain after major hip surgery in children is severe, yet there is no agreement on the most effective method for pain control. Post-operative pain modalities including lumbar epidural catheters (LEC), lumbar plexus catheters (LPC) and intravenous patient controlled analgesia (IV-PCA) have been described. IV-PCA has historically been the standard of care in spite of its numerous associated side effects. Regional anesthesia modalities have gained popularity because of superior pain control with lower opioid requirements. In this study, the investigators describe the first prospective randomized controlled trial comparing lumbar plexus catheter to alternatives for post-operative pain management in children after major hip surgery. The investigators hypothesized that LPC would be as safe and efficacious as LEC and IV-PCA with the added advantage of a decreased length of stay. The investigators primary aim was to compare hospital length of stay. Secondary aim was to compare pain scores, opioid consumption and opioid-related side effects. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT03435692
Study type	Interventional
Source	Seattle Children's Hospital
Contact
Status	Terminated
Phase	N/A
Start date	July 15, 2011
Completion date	July 29, 2014

View Details

See also
Status	Clinical Trial	Phase
Not yet recruiting	`NCT06033651` - Long Term Follow up of the Titanium Modular Revision Hip System, With Review of Metal Ion Levels
Completed	`NCT05802589` - Comparison of the Efficiency of PENG Block and ESP Block Used for Postoperative Analgesia in Elective Hip Surgery	N/A
Completed	`NCT03954730` - Eccentric Training Versus Active Release Technique On Quadriceps In Patients With Dynamic Hip Screw	N/A
Recruiting	`NCT06166602` - US-guided Pericapsular Nerve Group (PENG) Block in Different Volumes on Postoperative Pain in Hip Replacement Surgeries	N/A
Recruiting	`NCT05384860` - Incorporating Acupuncture Into ERAS for Ambulatory Total Hip Replacement (THR) Surgery	N/A
Completed	`NCT01875289` - Efficacy of a Modified Obturator Nerve Block Technique	N/A
Recruiting	`NCT05460442` - Pericapsular Nerve Group Block Versus Fascia Iliaca Block for Pediatric Hip Surgery	N/A
Completed	`NCT01469871` - Evaluation of Three Types of Dressings After Hip Surgery	Phase 4
Not yet recruiting	`NCT05966220` - Post Market Clinical Follow-up of Hip Surgery Using FH ORTHO Company Medical Devices.	N/A
Completed	`NCT00890123` - Preoperative Intravenous Omega 3 Fatty Acids Administration in Elderly Patients Undergoing Hip Surgery	Phase 4
Completed	`NCT03190447` - Wich is the Best Dressing in Wounds by Primary Surgery of THA and / or TKA?	N/A