Trial Outcomes & Findings for Regional Block for Postoperative Free Flap Care (NCT NCT04080739)

NCT ID: NCT04080739

Last Updated: 2023-12-06

Results Overview

Opioid Utilization was measured by the number of mg of Oral Morphine Equivalent (oral pain medication) was given to patients.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

100 participants

Primary outcome timeframe

21 days

Results posted on

2023-12-06

Participant Flow

Participant milestones

Participant milestones
Measure
Experimental Group
US-guided ipsilateral sciatic nerve block for fibula free flap patients utilizing ropivacaine 0.2% at 2-8 cc/hr for fibula free flap patients; US-guided infraclavicular brachial plexus nerve block for forearm free lap patients utilizing ropivacaine 0.2% at 2-8cc/hr for forearm free flap patients. ropivicaine 0.2%: 2-8 cc/hr of 0.2% ropivicaine given as a regional block via US-guided ipsilateral sciatic nerve block for fibula free flap patients or US-guided infraclavicular brachial plexus nerve block for forearm free flap patients.
Control Group
No regional anesthetic of any kind during the surgical procedure.
Overall Study
STARTED
50
50
Overall Study
COMPLETED
48
50
Overall Study
NOT COMPLETED
2
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Experimental Group
n=48 Participants
US-guided ipsilateral sciatic nerve block for fibula free flap patients utilizing ropivacaine 0.2% at 2-8 cc/hr for fibula free flap patients; US-guided infraclavicular brachial plexus nerve block for forearm free lap patients utilizing ropivacaine 0.2% at 2-8cc/hr for forearm free flap patients. ropivicaine 0.2%: 2-8 cc/hr of 0.2% ropivicaine given as a regional block via US-guided ipsilateral sciatic nerve block for fibula free flap patients or US-guided infraclavicular brachial plexus nerve block for forearm free flap patients.
Control Group
n=50 Participants
No regional anesthetic of any kind during the surgical procedure.
Total
n=98 Participants
Total of all reporting groups
Age, Categorical
<=18 years
2 Participants
n=48 Participants
1 Participants
n=50 Participants
3 Participants
n=98 Participants
Age, Categorical
Between 18 and 65 years
44 Participants
n=48 Participants
47 Participants
n=50 Participants
91 Participants
n=98 Participants
Age, Categorical
>=65 years
2 Participants
n=48 Participants
2 Participants
n=50 Participants
4 Participants
n=98 Participants
Age, Continuous
56 years
n=48 Participants
56 years
n=50 Participants
56 years
n=98 Participants
Sex: Female, Male
Female
22 Participants
n=48 Participants
22 Participants
n=50 Participants
44 Participants
n=98 Participants
Sex: Female, Male
Male
26 Participants
n=48 Participants
28 Participants
n=50 Participants
54 Participants
n=98 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.

PRIMARY outcome

Timeframe: 21 days

Population: Subjects included

Opioid Utilization was measured by the number of mg of Oral Morphine Equivalent (oral pain medication) was given to patients.

Outcome measures

Outcome measures
Measure
Experimental Group
n=48 Participants
US-guided ipsilateral sciatic nerve block for fibula free flap patients utilizing ropivacaine 0.2% at 2-8 cc/hr for fibula free flap patients; US-guided infraclavicular brachial plexus nerve block for forearm free lap patients utilizing ropivacaine 0.2% at 2-8cc/hr for forearm free flap patients. ropivicaine 0.2%: 2-8 cc/hr of 0.2% ropivicaine given as a regional block via US-guided ipsilateral sciatic nerve block for fibula free flap patients or US-guided infraclavicular brachial plexus nerve block for forearm free flap patients.
Control Group
n=50 Participants
No regional anesthetic of any kind during the surgical procedure.
Opioid Utilization Measured in Oral Morphine Equivalent (OME)
118 mg
Interval 19.81 to 217.05
166 mg
Interval 35.66 to 296.98

SECONDARY outcome

Timeframe: 21 days

Amount of opioid medication used post-operatively

Outcome measures

Outcome measures
Measure
Experimental Group
n=48 Participants
US-guided ipsilateral sciatic nerve block for fibula free flap patients utilizing ropivacaine 0.2% at 2-8 cc/hr for fibula free flap patients; US-guided infraclavicular brachial plexus nerve block for forearm free lap patients utilizing ropivacaine 0.2% at 2-8cc/hr for forearm free flap patients. ropivicaine 0.2%: 2-8 cc/hr of 0.2% ropivicaine given as a regional block via US-guided ipsilateral sciatic nerve block for fibula free flap patients or US-guided infraclavicular brachial plexus nerve block for forearm free flap patients.
Control Group
n=50 Participants
No regional anesthetic of any kind during the surgical procedure.
Opioid Medication Use
118 morphine milliequivalents
Standard Deviation 98.6
166 morphine milliequivalents
Standard Deviation 130.7

Adverse Events

Experimental Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Anthony Morlandt

University of Alabama at Birmingham

Phone: 205-996-2799

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place