Continuous Lumbar Plexus Block for Postoperative Pain Control After Total Hip Arthroplasty

Northwell Health225 enrolled

Overview

Continuous lumbar plexus and femoral blocks have been demonstrated to provide effective postoperative analgesia of the lower extremity following total joint arthroplasty. The purpose of this study was to compare these two techniques when used with intravenous patient-controlled analgesia and the use of patient-controlled analgesia alone for postoperative pain management following unilateral total hip arthroplasty.

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Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

225

Conditions

Postoperative Pain

Interventions

continuous infusion of ropivacaine via CLPB vs. CFB vs IV PCAPROCEDURE

0.5% Ropivacaine bolus of 30 ml. followed by ropivacaine 0.2%at 10 ml/hr via CLPB vs. CFB. Hydromorphone 0.3 mg demand only every 10 minutes via IV PCA.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 80 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * 18-80 years old * primary diagnosis of osteoarthritis Exclusion Criteria: * allergy to local anesthetics * peripheral neuropathy * opioid dependency * dementia * coagulopathy

Outcomes

Primary Outcomes

VAS pain scores

Time frame: at 24 and 48 hours

Secondary Outcomes

hydromorphone consumption,patient satisfaction,distance ambulated, opioid-related side effects

Time frame: at 24 and 48 hours

Data from ClinicalTrials.gov

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