Postoperative Pain Clinical Trial
Official title:
The Impact or Quadratum Lumborum (QL) Block Versus Pericapsular Nerve Group (PENG) With Lateral Femoral Cutaneous (LFC) Nerve Blocks for Analgesia After Hip Arthroplasty: a Prospective, Randomized Clinical Trial
Verified date | March 2024 |
Source | Medical University of South Carolina |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This study will consist of patients 18 years and older who are undergoing elective hip replacement with planned same day discharge. The patients will be randomized to receive a PENG+LFC or QL block prior to undergoing the surgery to help with postoperative pain control. The primary goal will be assessing postoperative opioid use during the first 72 hours after surgery. Secondary outcomes will include postoperative pain scores from, 0-72 hours. Additional outcomes consist of time to first ambulation, functional and mobility outcomes, PACU duration, patient satisfaction and opioid related side effects.
Status | Completed |
Enrollment | 106 |
Est. completion date | November 12, 2023 |
Est. primary completion date | November 12, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - age greater than or equal to 18 years of age - undergoing elective hip arthroplasty with planned same day discharge Exclusion Criteria: - local anesthetic allergy - subjects with a weight less than 40kg - subjects that are unable or choose not to give informed consent - Known preoperative substance abuse |
Country | Name | City | State |
---|---|---|---|
United States | MUSC | Charleston | South Carolina |
Lead Sponsor | Collaborator |
---|---|
Medical University of South Carolina |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Time to First Ambulation | How many minutes after anesthesia stop time patients first ambulate | From anesthesia stop time to first ambulation in minutes, assessed up to 7 days post-op. | |
Other | Physical, mental, and social aspects of health | The PROMIS Global Health Questionnaire will assess functional outcomes such by evaluating the patient's physical, mental, and social aspects of health. | Up to 6 weeks post-operatively | |
Other | Overall hip health | The HOOS Jr will assess overall Hip Health in participants. | Up to 6 weeks post-operatively | |
Other | Patient Satisfaction | We will be evaluating the patient's satisfaction with their post-op recovery by administering a satisfaction assessment. | 0-72 hours postoperatively | |
Other | PACU Duration | Time patient spent in PACU | surgery end to time discharged from PACU, assessed up to 6 weeks post-op | |
Other | Number of opioid related side-effects | Side effects experienced from opioids | 0-72 hours postoperatively | |
Primary | Postoperative cumulative opioid consumption | The primary outcome will be postoperative cumulative opioid consumption (in IV morphine mg equivalents: IV MME) over time, up to 72 hours postoperatively. Cumulative opioid consumption will be evaluated at PACU, and through 72 hours post-op. | 0-72 hours postoperatively | |
Secondary | Postoperative pain score measures | Postoperative pain score measures on the visual analog scale (VAS) from 0-100 captured in the preoperative area, PACU, and through 72-hours post-op. The lower the reported pain score, the better the outcome. | 0-72 hours postoperatively |
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