Lower Extremity Surgery, Post-operative Pain, Upper Extremity Surgery
Conditions
Keywords
Pain, Surgery, Catheter, Nerve Block, Popliteal, Sciatic, Femoral, Interscalene, UCSD, Moderate-to-severe pain, Perineural Catheter, Orthopedic Surgery
Brief summary
This is a research study to determine if the effects of continuous peripheral nerve blocks are influenced by the distance of insertion past the needle tip of the perineural catheter.
Detailed description
Specific Aim: Research study to determine the relationships between perineural catheter insertion distance and subsequent continuous peripheral nerve block effects. Hypothesis: during ultrasound-guided perineural catheter placement, inserting the catheter 0-1cm past the needle tip is associated with decreased postoperative pain compared with inserting the catheter 5-6cm past the needle tip.
Interventions
Patients undergoing orthopedic surgery who are getting a perineural catheter will be randomized to one of two groups: catheter tip placed 0-1cm past needle tip or catheter tip placed 5-6cm past needle tip. Patients will be called by research staff the day following surgery to assess their post-surgical pain using a numeric rating scale.
Sponsors
Study design
Eligibility
Inclusion criteria
* undergoing surgery with a planned popliteal perineural catheter for postoperative analgesia * age 18 years or older
Exclusion criteria
* pregnancy * inability to communicate with the investigators and hospital staff * incarceration * clinical neuropathy in the surgical extremity * chronic high-dose opioid use * history of opioid abuse
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Average pain in the three hours previous to a phone call the day following surgery as measured on a numeric rating scale (0-10, 0=no pain, 10=worst imaginable pain). | Day 1 after surgery, 3 hours prior to phone call |
Countries
United States