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

NCT ID: NCT00790179

Last Updated: 2008-11-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

225 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-01-31

Study Completion Date

2007-03-31

Brief Summary

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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.

Detailed Description

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above may be applied

Conditions

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Postoperative Pain

Keywords

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Continuous lumbar plexus,Femoral,hydromorphone

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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PCA;active comparator

Patients with intravenous PCA hydromorphone alone

Group Type ACTIVE_COMPARATOR

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

Intervention Type PROCEDURE

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.

CFB

Patients with a continuous femoral block (CFB) + PCA hydromorphone

Group Type ACTIVE_COMPARATOR

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

Intervention Type PROCEDURE

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.

CLPB

Patients with a continuous lumbar plexus block + PCA hydromorphone

Group Type ACTIVE_COMPARATOR

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

Intervention Type PROCEDURE

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.

Interventions

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

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.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* 18-80 years old
* primary diagnosis of osteoarthritis

Exclusion Criteria

* allergy to local anesthetics
* peripheral neuropathy
* opioid dependency
* dementia
* coagulopathy
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Northwell Health

OTHER

Sponsor Role lead

Responsible Party

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Huntington Hospital, North Shore-LIJ Health System

Principal Investigators

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Joseph Marino, M.D.

Role: PRINCIPAL_INVESTIGATOR

Huntington Hospital

Other Identifiers

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1989md

Identifier Type: -

Identifier Source: org_study_id