Spinal anesthesia during total hip arthroplasty with anterior approach
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: In order to be eligible to participate in this study, a subject must meet all of the following criteria: - ASA I to III - 18y or older - Primary uncemented THA with anterior approach - Willing to participate - Speaking Dutch language Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 10 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 15
Exclusion criteria
Exclusion criteria: A potential subject who meets any of the following criteria will be excluded from participation in this study: - Hypersensitivity to local anesthetics or any of the other excipients of prilocaine - Any other contraindications relate to intrathecal anesthesia - CNS disease, e.g. meningitis, tumor, poliomyelitis, cerebral hemorrhage - Spinal stenosis and diseases or recent trauma to the cervical column - Sepsis - Pernicious anemia with symptoms related to cervical degradation - Pyogenic infections of the skin close to the injection site - Cardiogenic or hypovolemic shock - Disturbance in coagulation or treatment with anti-coagulants - Patient is participating in a medicinal study - Noncompliant to intrathecal anesthesia - Patients who are incompetent to decide
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Determination of the ED50 (95%CI) of prilocaine administered intrathecally in THA with anterior approach that allows direct post-operative mobilization and will accommodate sufficient anesthesia during surgery. ;Secondary Objective: Not applicable;Primary end point(s): Bromage 0, positive pinprick test on dermatome L5 and S1 at t=124;Timepoint(s) of evaluation of this end point: After analysis of all patients | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - Time to reach Bromage 0 - Time to regain positive pinprick test at dermatome S1 and L5;Timepoint(s) of evaluation of this end point: After analysis of all patients | — |
Countries
Netherlands
Contacts
Reinier de Graaf Groep