Total Hip Arthroplasty Outcomes With Regional and Multimodal Analgesia

Medical University of South Carolina117 enrolled

Overview

The goal of this retrospective chart review is to evaluate if the implementation of lumbar plexus block placement for postoperative pain and administration of multimodal oral analgesia have improved conditions in the postoperative period for patients undergoing total hip arthroplasty when compared to the placement of epidurals for postoperative pain management.

Primary outcome: 48 hour opiate consumption in patients following THA. ' Secondary outcome: Time to first ambulation, assitstance needed with ambulation, opiate and regional related side effects, time to discharge orders.

Study Type

OBSERVATIONAL

Enrollment

117

Conditions

Arthroplasty Replacement, Hip Arthritis

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Primary total hip arthroplasty, (identified by current procedural terminology (CPT) code 27130) and 2. Either a) Epidural or b) Lumbar plexus peripheral nerve block with the administration of multimodal medication after July 2012. \- Exclusion Criteria:Exclusion criteria include THA Revision, ICU admission postoperatively, and dementia, not allowing pain score communication. \-

Locations (1)

Medical University of South Carolina

Charleston, South Carolina, United States

Outcomes

Primary Outcomes

Opiate Consumption

Cumulative 48 Hours Opiate Consumption in Intravenous (IV) Morphine mg Equivalents (MME)

Time frame: 48 hours postoperative

Data from ClinicalTrials.gov

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