Outpatient Versus Inpatient Continuous Brachial Plexus Block for Complex Arthroscopic Elbow Surgery: Safety and Functional Outcome
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Range of Motion
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients undergoing elective complex arthroscopic elbow surgery requiring postoperative CPM - synovectomy, capsulectomy, extensive debridement, contracture release, osteocapsular arthroplasty.
- •ASA I-III
排除标准
- •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)
研究组 & 干预措施
Early discharge
Patients will be discharged home on the first day after surgery, with infraclavicular catheter infusion of local anesthetic in place.
干预措施: Elbow arthroscopy with infraclavicular nerve block and continuous local anesthetic infusion to day 3 post op. (Procedure)
Early discharge
Patients will be discharged home on the first day after surgery, with infraclavicular catheter infusion of local anesthetic in place.
干预措施: Early Discharge (Other)
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.
干预措施: Elbow arthroscopy with infraclavicular nerve block and continuous local anesthetic infusion to day 3 post op. (Procedure)
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.
干预措施: Normal Discharge (Other)
结局指标
主要结局
Range of Motion
时间窗: 1 year
Range of motion at the elbow will be measured vs. baseline to determine surgical success.
次要结局
- Post-operative analgesia(3 days)