The Addition of a Preoperative Sciatic Nerve Block to a Femoral Nerve Block for Ambulatory Arthroscopic ACL Reconstruction
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Anterior Cruciate Ligament Tear
- Sponsor
- University of California, San Francisco
- Enrollment
- 68
- Locations
- 1
- Primary Endpoint
- Pain Scores
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
The investigators propose that a preoperative femoral and sciatic blocks vs a femoral block only, prior to ambulatory anterior cruciate ligament (ACL) reconstruction will lead to a decrease in opiate consumption, pain scores, and post-anesthesia care unit (PACU) length of stay. The investigators are prospectively randomizing patients to either a femoral or a fem/sciatic block and monitor outcomes.
Detailed Description
Although femoral nerve blocks improve analgesia after anterior cruciate ligament (ACL) reconstruction, patients often complain of posterior knee pain, which can be treated with a sciatic nerve block. In a prospective randomized study, we compare preoperative femoral nerve block to a combined femoral and sciatic block in patients undergoing ambulatory ACL reconstruction. We hypothesize that the combined femoral/sciatic nerve block patients would have improved analgesia, fewer opioid-related side effects, and shorter PACU length of stay and improved patient satisfaction.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age 18 and over
- •ASA status I-II
- •Scheduled for ambulatory Arthroscopic ACL Surgery
Exclusion Criteria
- •Allergy to Local anesthetics or opiates used in the study
- •Contraindications for regional anesthesia
- •coagulopathy, anticoagulation, Thrombocytopenia
- •infection at site of injection
- •Chronic pain and high preoperative opiate requirements
- •High risk for PONV
Outcomes
Primary Outcomes
Pain Scores
Time Frame: PACU and POD1, 2 and 3.
Secondary Outcomes
- Length of stay(Duration of stay in the recovery room)
- Opiate consumption(During surgery, recovery room and for 3 days after discharge)
- PONV(During the recovery room stay and after discharge from surgery center for up to 3 days.)