The Addition of a Preoperative Sciatic Nerve Block to a Femoral Nerve Block for Ambulatory Arthroscopic ACL Reconstruction
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 68
- 试验地点
- 2
- 主要终点
- Pain Scores
研究概览
简要总结
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.
详细描述
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.
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 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 18 and over
- •ASA status I-II
- •Scheduled for ambulatory Arthroscopic ACL Surgery
排除标准
- •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
结局指标
主要结局
Pain Scores
时间窗: PACU and POD1, 2 and 3.
次要结局
- 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.)