Pain, Postoperative
Conditions
Keywords
ACL reconstruction, morphine sparing, preemptive analgesia, Post-operative pain and post- operative opioid use
Brief summary
This study evaluates the effect of a femoral nerve block on opioid requirements following anterior cruciate ligament (ACL) reconstruction. This is a double blind, prospective randomized controlled trial.
Interventions
See Detailed Description
Sponsors
Study design
Eligibility
Inclusion criteria
* Schedule for primary elective anterior cruciate ligament reconstruction * Tolerance to bupivacaine * Tolerance to non-steroidal anti-inflammatory drugs (NSAIDs) * Informed consent
Exclusion criteria
* Patients who received a femoral nerve block more than 1 hour prior to surgery * Complex associated injuries or pre-existing conditions that will delay time to ambulation * Children with tibial avulsion fractures * Allergic and/or sensitive to bupivacaine and/or NSAIDs * 30% over ideal body weight * Acute ACL reconstruction (done less than 2 weeks after injury) * Pre-existing femoral nerve injury * Psychiatric patients on psychotropic agents * History of drug or alcohol dependence or recreational drug use * Refusal to provide informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative morphine requirement | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain rating | immediately post-op |
| Opioid surgical time | time from end of anaesthesia to first requirement of morphine |
Countries
Canada