Regional Anesthesia for Head and Neck Reconstruction

University of Florida

Overview

By utilizing regional anesthesia blocks at the surgery tissue donor sites, it can potentially reduce post-operative pain while also reducing the use of opioids. It can aim to measure the reduction in opioid use, reduction in pain scores, patient satisfaction, and because there is not a current protocol established for regional anesthesia use for free flap reconstruction, and we aim to standardize the procedure.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Conditions

Pain, Postoperative

Interventions

Regional AnesthesiaDRUG

Block performed is an indwelling wound bed or popliteal catheter placed intraoperatively

Eligibility

Sex: ALLMin age: 18 YearsMax age: 90 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Subjects undergoing microvascular fibula free flap reconstruction of the head and neck * Subjects undergoing primary reconstruction for both benign and malignant etiology Exclusion Criteria: * Pregnant women * Subjects with true allergies to the study drugs, reporting anaphylaxis in the past * Subjects undergoing reconstruction with more than 1 free flap * Subjects undergoing secondary reconstructions * Subjects undergoing surgery for osteonecrosis * History of enrollment in a pain management program * Any subject currently enrolled in pain management, or currently taking long acting opioids such as methadone or oxycontin

Locations (1)

University of Florida

Jacksonville, Florida, United States

Outcomes

Primary Outcomes

Opioid consumption

Subjects' morphine equivalent dose. Postoperative period commences at extubation.

Time frame: 72 hours (3 days) post-operatively

Data from ClinicalTrials.gov

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