The purpose of this study is to determine whether the use of a lumbar plexus block for arthroscopic hip surgery is superior to oral and intravenous opioid pain medications alone in treating pain. In addition, the study will examine whether lumbar plexus blocks reduce the total amount of pain medication needed, and therefore reduce the side effects of these medicines and increase patient satisfaction. It is hypothesized that addition of the lumbar plexus block will significantly reduce patients' postoperative pain.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
83
The lumbar plexus block will be dosed with 30 milliliters of 0.25% bupivacaine with 1:200,000 epinephrine
The control group will receive only a combined spinal-epidural.
Hospital for Special Surgery
New York, New York, United States
New York Presbyterian Hospital
New York, New York, United States
Numeric Rating Scale (NRS) Pain at Rest (0-10) on Day of Surgery Prior to Discharge
The Numeric Rating Scale was used to ask patients to rate their pain at rest on a scale of 0 to 10, 0 = no pain and 10 = worst pain imaginable.
Time frame: Day of surgery prior to discharge
Readiness to Discharge From Post-Anesthesia Care Unit (PACU)
Time to readiness for discharge from the PACU. Patients were considered ready for PACU discharge when they met the following criteria: a) Awake, alert, oriented and responsive b) Minimal pain, Numeric Rating Scale \< 5/10 (0 = no pain, 10 = worst imaginable pain) (parenteral \[injected\] medications not required) c) Vital signs stable d) No active bleeding e) Minimal or no nausea f) Not vomiting, tolerating oral intake g) Oxygen saturation \> 94% (or baseline) on room air h) Patient has urinated.
Time frame: Day of surgery prior to discharge
Narcotic Pain Medication Needed
Time frame: Day of surgery prior to discharge
Incidence of Nausea
The number of participants with nausea.
Time frame: Day of surgery prior to discharge
Incidence of Vomiting
The number of participants who vomited.
Time frame: Day of surgery prior to discharge
Requirement of Antiemetic Rescue
The number of participants who needed medication to treat their nausea and vomiting.
Time frame: Day of surgery prior to discharge
Patient Satisfaction
Patient Satisfaction (0-10; 0 = very dissatisfied, 10 = very satisfied)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: First 24 hours after surgery
Quality of Recovery (QoR-40) Physical Comfort Dimension
Assessment of Physical Comfort (minimum score = 12, maximum score = 60). Higher values represent a better outcome
Time frame: First 24 hours after surgery