Continuous Lumbar Plexus Block for Postoperative Pain Control After Total Hip Arthroplasty
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 225
- 主要终点
- VAS pain scores
研究概览
简要总结
Continuous lumbar plexus and femoral blocks have been demonstrated to provide effective postoperative analgesia of the lower extremity following total joint arthroplasty. The purpose of this study was to compare these two techniques when used with intravenous patient-controlled analgesia and the use of patient-controlled analgesia alone for postoperative pain management following unilateral total hip arthroplasty.
详细描述
above may be applied
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •18-80 years old
- •primary diagnosis of osteoarthritis
排除标准
- •allergy to local anesthetics
- •peripheral neuropathy
- •opioid dependency
- •coagulopathy
研究组 & 干预措施
PCA;active comparator
Patients with intravenous PCA hydromorphone alone
干预措施: continuous infusion of ropivacaine via CLPB vs. CFB vs IV PCA (Procedure)
CFB
Patients with a continuous femoral block (CFB) + PCA hydromorphone
干预措施: continuous infusion of ropivacaine via CLPB vs. CFB vs IV PCA (Procedure)
CLPB
Patients with a continuous lumbar plexus block + PCA hydromorphone
干预措施: continuous infusion of ropivacaine via CLPB vs. CFB vs IV PCA (Procedure)
结局指标
主要结局
VAS pain scores
时间窗: at 24 and 48 hours
次要结局
- hydromorphone consumption,patient satisfaction,distance ambulated, opioid-related side effects(at 24 and 48 hours)