Pain
Conditions
Keywords
Carpalmetacarpal arthroplasty, Proximal row carpectomy, Post-operative pain control, Exparel, Marcaine
Brief summary
The purpose of this study is to demonstrate improved pain control and outcomes in wrist operations with the use of a long-acting local anesthetic, EXPAREL, when compared to the use of the standard local anesthetic, Marcaine.
Interventions
EXPAREL arm: one vial (266 mg/20 mL) of EXPAREL (Bupivicaine Extended-Release Liposome, 13.3mg/ml), undiluted, will be administered for each of the specified procedures.
15 cc of Marcaine 0.5% (Bupivacaine 0.5%, 5mg/ml) will be administered into the wrist per the Surgeon's Standard practice.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \> 18 years * ASA physical status 1-3 * Undergoing either carpometacarpal arthroplasty or proximal row carpectomy operation * Physically and mentally able to participate in the study and complete all study assessments * Able to voluntarily give fully informed consent to participate in this study and complete all study assessments within the timeframes required.
Exclusion criteria
* History of hypersensitivity or idiosyncratic reactions to amide-type local anesthetics * Any patient whose anatomy, or surgical procedure, in the opinion of the Investigator, might preclude the potential successful local administration of EXPAREL * Patients who have received any investigational drug within 30 days prior to EXPAREL administration, or planned administration of another investigational product or procedure during their participation in this study * Any chronic condition requiring use of opioids for treatment of the medical condition for three (3) months or more * Confirmed pregnancy at time of enrollment * Patients unable to comply with the study requirements, i.e. inaccessible by phone, or deaf
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Pain | Pre-op, Post-op days: 1,2,3,4, and 14 | Pain measured by Numeric Rating Scale (NRS) |
Countries
United States