Early Discharge in Patients Undergoing Elbow Arthroscopy

Not Applicable

Completed

• Conditions: Elbow Arthroscopy Surgery
• Interventions: Procedure: Elbow arthroscopy with infraclavicular nerve block and continuous local anesthetic infusion to day 3 post op.; Other: Early Discharge; Other: Normal Discharge

• Registration Number: NCT01151241
• Lead Sponsor: University Health Network, Toronto

Brief Summary

Patients undergoing elbow arthroscopy surgery will receive standard anesthesia and analgesia (infraclavicular nerve block combined with general anesthesia for surgery; continuous infusion via infraclavicular catheter to day 3 post op). Patients in the experimental group will be discharged home after one day, with infraclavicular catheter in place; patients in the comparator group will stay in hospital for 3 or 4 days, per standard practice. The study will compare range of motion as the primary endpoint, in a non-inferiority design, to see if early discharge is feasible while providing similar recovery.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2010-06-24
• Study First Submitted QC: 2010-06-25
• Study First Posted: 2010-06-28
• Study Start: 2010-07
• Primary Completion: 2014-08
• Study Completion: 2014-12
• Status Verified: 2015-02
• Last Update Submitted: 2015-02-20
• Last Update Posted: 2015-02-24

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• Patients undergoing elective complex arthroscopic elbow surgery requiring postoperative CPM - synovectomy, capsulectomy, extensive debridement, contracture release, osteocapsular arthroplasty.
• ASA I-III

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Exclusion Criteria

• Age>65
• Cognitively challenged patients
• Severe COPD
• Patients who, on their own or with the assistance of a caregiver, are not confident of being able to remove the local anesthetic infusion catheter at home
• Psychiatric history
• Allergy to ropivacaine.
• Opioid tolerance (>60mg oral morphine or equivalent/day)

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Early discharge	Elbow arthroscopy with infraclavicular nerve block and continuous local anesthetic infusion to day 3 post op.	Patients will be discharged home on the first day after surgery, with infraclavicular catheter infusion of local anesthetic in place.
Early discharge	Early Discharge	Patients will be discharged home on the first day after surgery, with infraclavicular catheter infusion of local anesthetic in place.
Normal Discharge	Normal Discharge	Patients will remain in hospital and be discharged per current discharge criteria, once the infraclavicular catheter has been removed on day 3 post op. Typical discharge occurs on day 3 or 4 post op.
Normal Discharge	Elbow arthroscopy with infraclavicular nerve block and continuous local anesthetic infusion to day 3 post op.	Patients will remain in hospital and be discharged per current discharge criteria, once the infraclavicular catheter has been removed on day 3 post op. Typical discharge occurs on day 3 or 4 post op.

Primary Outcome Measures

Name	Time	Method
Range of Motion	1 year	Range of motion at the elbow will be measured vs. baseline to determine surgical success.

Secondary Outcome Measures

Name	Time	Method
Post-operative analgesia	3 days	Pain scores, by visual analogue scale, will be used to determine patient satisfaction with analgesia to day 3 after surgery.

Trial Locations

Locations (1)

Toronto Western Hospital; 🇨🇦 Toronto, Ontario, Canada