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

Northwell Health

Status: Completed

Conditions: Postoperative Pain

Treatments: Procedure: continuous infusion of ropivacaine via CLPB vs. CFB vs IV PCA

Study type: Interventional

Funder types: Other

Identifiers

NCT00790179

1989md

Details and patient eligibility

About

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.

Full description

above may be applied

Enrollment: 225 patients

Sex: All

Ages: 18 to 80 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• 18-80 years old
• primary diagnosis of osteoarthritis

Exclusion criteria

• allergy to local anesthetics
• peripheral neuropathy
• opioid dependency
• dementia
• coagulopathy

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Single Blind

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225 participants in 3 patient groups

PCA;active comparator

Active Comparator group

Description:

Patients with intravenous PCA hydromorphone alone

Treatment:

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

CFB

Active Comparator group

Description:

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

Treatment:

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

CLPB

Active Comparator group

Description:

Patients with a continuous lumbar plexus block + PCA hydromorphone

Treatment:

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