Anesthesia, Anesthesia, Local, Orthopedic Disorder
Conditions
Brief summary
To identify the benefits from regional anesthesia use as pain management in the pediatric population by delineating the differences in efficacy of continuous nerve blockade versus single-shot techniques after pediatric orthopaedic limb procedures. By doing this, the investigators can determine if specific anesthetic techniques should become a standard of care in pain management for the pediatric population and supersede the need for opioid medication.
Interventions
DRUGRopivacaine
Dosing and volume will vary based on type of block used and weight of patient because of the pediatric population in the study.
Sponsors
Ochsner Health System
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
5 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Patients undergoing primary orthopaedic limb surgery * Outpatient orthopaedic surgeries * Patients undergoing orthopaedic surgery who would normally receive regional anesthesia
Exclusion criteria
* Patients younger than 5 years of ago or older than 18 years of age * Revision orthopaedic surgeries * Spinal orthopaedic surgeries * Orthopaedic surgeries where the standard of care for type of regional anesthesia has been established (continuous regional for ACL reconstruction) * Patients with the inability to articulate pain scores * Inpatient orthopaedic surgeries * Patients undergoing orthopaedic limb surgery with risk of compartment syndrome (i.e. acute supracondylar humerus fractures)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Opioid Consumption | For first 48 hours post-operatively. | Amount of opioid medications taken for pain control. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Opioid Consumption | Through 12 hours post-operatively. | Amount of opioid medications taken for pain control. |
| Emergency Room Visits | Within 2 weeks post-operatively. | Emergency room visits due to poor pain control. |
| Pain Scores | At 12 hours post-operatively. | Universal Pain Assessment tool will be used. The pain scale ranges from 0 to 10 with 0 being no pain and 10 being the worst possible pain. |
Countries
United States
Outcome results
None listed