Postoperative Pain
Conditions
Keywords
anterior cruciate ligament, pain, postoperative, peripheral nerve catheter, nerve block, Children undergoing anterior cruciate ligament repair
Brief summary
Randomized trial comparing lumbar plexus catheter versus femoral nerve catheter (single-shot femoral block as control group) for postoperative pain control after anterior cruciate ligament repair in children (age 11-21). Primary outcome is pain scores for the first 72 hours. Secondary outcomes include opioid consumption, incidence of opioid side effects and quality of recovery (previously validated scale). Our hypothesis is that lumbar plexus catheter will provide superior pain control and overall quality of recovery compared to femoral nerve catheters.
Interventions
PROCEDURElumbar plexus catheter
lumbar plexus catheter with 0.2% ropivacaine at 0.15 ml/kg/hr (max 10 ml/hr)
PROCEDUREfemoral nerve catheter
femoral nerve catheter with 0.2% ropivacaine at 0.15 ml/kg/hr (max 10 ml/hr)
PROCEDUREsingle-shot femoral block
single-shot femoral block with 0.2% ropivacaine 0.3 ml/kg (max 20 ml)
Sponsors
Seattle Children's Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
11 Years to 21 Years
Healthy volunteers
No
Inclusion criteria
* ASA physical status 1-2 * Age 11-21 * Undergoing anterior cruciate ligament repair
Exclusion criteria
* Patient refusal * Coagulopathy * Systemic infection or infection at needle insertion site * Allergy to ropivacaine or opioids * Taking chronic opioids * Unavailable by phone
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative pain scores | 72 hours |
Secondary
| Measure | Time frame |
|---|---|
| Quality of recovery | 72 hours |
| Opioid consumption | 72 hours |
| Opioid side effects | 72 hours |
Countries
United States
Contacts
Primary ContactMichelle Sadler-Greever, RN
Backup ContactFelicia M. Birch, MD
Outcome results
None listed