Lumbar Plexus Catheter Versus Femoral Nerve Catheter for Postoperative Pain After Anterior Cruciate Ligament (ACL) Repair

Seattle Children's Healthcare System

Status: Unknown

Conditions: Postoperative Pain

Treatments: Procedure: single-shot femoral block; Procedure: femoral nerve catheter; Procedure: lumbar plexus catheter

Study type: Interventional

Funder types: Other

Identifiers

NCT01068275

SCHAnes1

Details and patient eligibility

About

Randomized trial comparing lumbar plexus catheter versus femoral nerve catheter (single-shot femoral block as control group) for postoperative pain control after anterior cruciate ligament repair in children (age 11-21). Primary outcome is pain scores for the first 72 hours. Secondary outcomes include opioid consumption, incidence of opioid side effects and quality of recovery (previously validated scale). Our hypothesis is that lumbar plexus catheter will provide superior pain control and overall quality of recovery compared to femoral nerve catheters.

Enrollment: 114 estimated patients

Sex: All

Ages: 11 to 21 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• ASA physical status 1-2
• Age 11-21
• Undergoing anterior cruciate ligament repair

Exclusion criteria

• Patient refusal
• Coagulopathy
• Systemic infection or infection at needle insertion site
• Allergy to ropivacaine or opioids
• Taking chronic opioids
• Unavailable by phone

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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114 participants in 3 patient groups

Lumbar plexus catheter

Active Comparator group

Treatment:

Procedure: lumbar plexus catheter

femoral nerve catheter

Active Comparator group

Treatment:

Procedure: femoral nerve catheter

single-shot femoral block

Active Comparator group

Treatment:

Procedure: single-shot femoral block