Ambulatory Continuous Adductor Canal Block to Facilitate Same Day Discharge Following Total Knee Arthroplasty: A Pilot Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 25
- 试验地点
- 2
- 主要终点
- percentage of patients discharged at 23 hours based on a composite of various factors represented on a pre-determined criteria
研究概览
简要总结
Patients scheduled to undergo total knee arthroplasty will receive motor sparing knee blocks with continuous adductor canal block along with multimodal analgesia started pre-operatively and continued into the postoperative period. The study will evaluate the feasibility of home discharge within the first 24 hours following total knee arthroplasty. We will also evaluate the pain scores in the first 5 days following the surgery, causes of delayed discharge and any adverse events.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 40 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Male and females of 40-70years of age
- •Scheduled to undergo unilateral primary total knee arthroplasty
- •ASA Class I, II
排除标准
- •Revision surgery
- •Narcotic dependent (opioid intake morphine equivalent > 10 mg/ day for more than 3 months)
- •Other sources of chronic pain like fibromyalgia
- •Patients with associated significant cardiac, CNS or respiratory disease (poor cardio-respiratory reserve)
- •Major conduction defects in EKG (bifascilular block, CHB); significant valvular heart disease
- •Recent MI/ Stroke/ CHF (in the past 3 months)
- •Obstructive sleep apnea (AHI > 15)
- •Patients with coexisting hematological disorder or with deranged coagulation parameters.
- •Patients with pre-existing major organ dysfunction such as hepatic and renal failure.
- •Psychiatric illnesses
- •Uncontrolled diabetes mellitus
- •Lack of informed consent.
- •Allergy to any of the drugs used in the study
- •Preoperative neurological deficits
- •Use of walking aids preoperatively
- •Living alone (Lack of Chaperone/home help)
- •Language barrier
- •Contralateral leg weakness
结局指标
主要结局
percentage of patients discharged at 23 hours based on a composite of various factors represented on a pre-determined criteria
时间窗: 24 hours
次要结局
- Rescue analgesic frequency(24 hours)
- total analgesic usage in the first 24 and 96 postoperative hours(96 hours)
- first 24 hour pain scores(24 hours)
- first 96 hour pain scores(96 hours)
研究者
Sugantha Ganapathy
Principal Investigator
London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's