Other Reconstructive Surgery
Conditions
Keywords
knee, reconstructive surgery, femoral nerve block
Brief summary
Knee arthroscopy is a common surgical procedure in pediatrics in which the knee joint is visualized through a small camera to help diagnose and treat knee problems. This procedure is commonly accomplished with the use of general anesthesia. Regional anesthesia is commonly completed with a single injection of local anesthetic around the femoral nerve to provide pain relief for several hours following knee arthroscopy. The intent of this study is to examine the effects of clonidine in addition to local anesthetics for femoral nerve blockade in providing children and adolescents post-operative analgesia. The investigators hypothesize the addition of low dose clonidine (1 mcg/kg) provides an additional 4 hours of post operative analgesia following arthroscopic knee surgery and reduces post-operative opiate requirement.
Interventions
ropivacaine 0.2% 0.5 ml/kg (max 20 ml)
clonidine 1 mcg/kg AND ropivacaine 0.2% 0.5 ml/kg (max 20 ml)
Sponsors
Study design
Eligibility
Inclusion criteria
* American Society of Anesthesiologist (ASA) functional status I or II * Patients scheduled for arthroscopic knee surgery only
Exclusion criteria
* Patients with history of chronic opioid therapy, central or peripheral neuropathy, contraindications to regional anesthesia, history of allergy to clonidine or ropivicaine, or anterior cruciate ligament reconstructive surgery in addition to knee arthroscopy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain | 24 hours | The primary end-point of the study is time from performance of femoral nerve block to onset of pain in the distribution of the femoral nerve. |
Secondary
| Measure | Time frame |
|---|---|
| Heart rate | 15, 30 & 60 mins. post-op |
| Blood pressure | 15, 30 & 60 mins. post-op |
| Oxygen saturation | 15, 30 & 60 mins. post-op |
Countries
United States