Compare Epidural vs. Lumbar Plexus Analgesia After Hip Arthroplasty

NCT02493621 | Completed Results

• 1 other identifier: Pro00040998
• Study Type: observational
• Target: 116
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this retrospective chart review is to evaluate if the implementation of lumbar plexus block placement for postoperative pain have improved conditions in the postoperative period for patients undergoing total hip arthroplasty when compared to the placement of epidurals for postoperative pain management.

Conditions

Arthropathy of Hip

Keywords

Pain, Postoperative; Nerve Block; Anesthesia, Epidural

Outcome Measures

Primary Outcomes (1)

• Opiate Consumption

  Cumulative opiate consumption in intravenous (IV) morphine mg equivalents (MME)

  48 hours postoperative

Secondary Outcomes (1)

• Time of First Ambulation

  48 hours

Study Arms (2)

Lumbar plexus

Patients received a preoperative lumbar plexus nerve block (20 ml, ropivacaine 0.5%) for postoperative pain management.

Lumbar Epidural

Patients received a lumbar epidural preoperatively for postoperative pain management. Epidural infusions of ropivacaine 0.2% were initiated intraoperatively, administered until the morning of postoperative day 1, and titrated to patient comfort.

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The study team will identify subject by the Primary Diagnosis of THA, (identified by CPT code 27130) and 2) either a) Epidural (CPT code 62319) or b) Lumbar plexus peripheral nerve block (CPT 62311 or 64449) with the administration of multimodal medication.

You may qualify if:

• years and older
• Diagnosis of:
• Primary THA, (identified by CPT code 27130)
• Either a) Epidural (CPT code 62319) or b) Lumbar plexus peripheral nerve block (CPT 62311 or 64449)
• Perioperative multimodal medication
• Hospitalized from July 1, 2012 to December 17, 2014.

You may not qualify if:

• THA Revision
• ICU admission postoperatively
• History of dementia

Sponsors & Collaborators

• Medical University of South Carolina: lead

Study Sites (1)

Medical University of South Carolina

Charleston, South Carolina, 29425, United States

Location

MeSH Terms

Conditions

Pain, Postoperative

Condition Hierarchy (Ancestors)

Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms

Results Point of Contact

• Title: Sylvia Wilson
• Organization: MUSC

wilsosh@musc.edu

8437922322

Study Officials

• Sylvia Wilson, MD

  Medical University of South Carolina

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: July 2, 2015
• First Posted: July 9, 2015
• Study Start: December 1, 2014
• Primary Completion: June 1, 2015
• Study Completion: July 1, 2015
• Last Updated: March 22, 2019
• Results First Posted: March 22, 2019

Record last verified: 2018-06

Locations

US (1)