Patient with atraumatic knee pain without a large knee effusion on x-ray will be randomized to receive either a genicular nerve block (GNB) or standard of care in the emergency department.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
34
genicular nerve block with ideal body-weight dosing of bupivacaine 0.5% with 4 mg dexamethasone
This involves standard of care pain relief for patients who do not receive the genicular nerve block for knee pain, such as acetaminophen, non-steroidal anti-inflammatory drugs (NSAIDs), and opioids.
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, United States
RECRUITINGPennsylvania Hospital
Philadelphia, Pennsylvania, United States
RECRUITINGPennsylvania Presbyterian Medical Center
Philadelphia, Pennsylvania, United States
Pain level
Measured by numeric rating scale: 0 (minimum value) - 10 (maximum value)
Time frame: 1 hour post-enrollment
Difference in Duration of Analgesia
Patients will be called back to assess their pain levels
Time frame: 24 hours
Difference in AP-POQ-RED score
9 question survey study, all questions rated on 0 (minimum) - 10 (maximum) scale. Questions include: pain before and after treatment, pain with activities in and out of bed, emotions (anxiety, fear, helplessness), degree of pain relief in the emergency department, satisfaction.
Time frame: 1 hour after enrollment
Difference in length of stay in the emergency department
Length of stay in the emergency department is determined from the time the provider first sees the patient to the time the provider discharges the patient.
Time frame: Average 1 hour
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HUP Cedar
Philadelphia, Pennsylvania, United States
RECRUITING