Compare Epidural vs. Lumbar Plexus Analgesia After Hip Arthroplasty

Medical University of South Carolina (MUSC)

Status: Completed

Conditions: Arthropathy of Hip

Study type: Observational

Funder types: Other

Identifiers

NCT02493621

Pro00040998

Details and patient eligibility

About

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

Full description

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

Enrollment: 116 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• 18 years and older

• Diagnosis of:

  1. Primary THA, (identified by CPT code 27130)
  2. Either a) Epidural (CPT code 62319) or b) Lumbar plexus peripheral nerve block (CPT 62311 or 64449)

• Perioperative multimodal medication

• Hospitalized from July 1, 2012 to December 17, 2014.

Exclusion criteria

• THA Revision
• ICU admission postoperatively
• History of dementia

Trial design

116 participants in 2 patient groups

Lumbar plexus

Description:

Patients received a preoperative lumbar plexus nerve block (20 ml, ropivacaine 0.5%) for postoperative pain management.

Lumbar Epidural

Description:

Patients received a lumbar epidural preoperatively for postoperative pain management. Epidural infusions of ropivacaine 0.2% were initiated intraoperatively, administered until the morning of postoperative day 1, and titrated to patient comfort.