Hip Disease, Postoperative Pain
Conditions
Keywords
Hip, Pain, Arthroscopy
Brief summary
The aim of this project is to evaluate the efficacy of preoperative erector spinae blocks in arthroscopic hip surgery. This will be a prospective randomized controlled trial.
Detailed description
The aim of this project is to evaluate the efficacy of preoperative erector spinae blocks in arthroscopic hip surgery. This will be a prospective randomized controlled trial. The control group will not receive a preoperative block prior to surgery, but will receive local anesthetic at the surgical site at the conclusion of the surgery. The study group will receive a preoperative block and local anesthetic. The primary outcomes will be pain levels and opioid consumption in the post-operative care unit. The secondary outcomes will be pain levels and opioid consumption post-operatively, and functional outcome measures.
Interventions
PROCEDUREErector spinae block
See experimental arm group description
PROCEDURELocal block
See control and study arm group descriptions for the local block
Sponsors
Carilion Clinic
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
Erector spinae block will be performed after general anesthesia has been induced. Patients will be unaware which arm of the study they are in.
Intervention model description
Patients will be randomized to either the study group or control group prior to undergoing surgery
Eligibility
Sex/Gender
ALL
Age
13 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* All patients undergoing hip arthroscopy for femoroacetabular impingement * Ages 13-50 * Individuals who have the capacity to provide consent or assent for themselves
Exclusion criteria
* Hip arthroscopy for any other reason (not undergoing labral repair, acetabuloplasty, and femoral osteochondroplasty) * Revision surgery * Known narcotic use in the 6 months prior to surgery * Workman's compensation patient * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Post Anesthesia Care Unit Opioids | 6 hours post-operatively | Total morphine milligram equivalents of administered in the post-operative care unit |
| Post Anesthesia Care Unit Pain | 6 hours post-operatively | Visual analogue pain score at the time of discharge from the Post Anesthesia Care Unit in which 0 equals no pain and 10 equals extreme pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Range Of Motion | 1 year post-operatively | Hip range of motion in degrees of motion, will be examined by the operative surgeon in the office measured by flexion 0-110 degrees with 0 being no range of motion and 110 being full range of motion, internal rotation -5-25 degrees with -5 being no range of motion and -25 being full range of motion, and external rotation 0-60 degrees with 0 being no range of motion and 60 being full range of motion. |
| Hip disability and Osteoarthritis Outcome Score | 1 year post-operatively | Hip disability and Osteoarthritis Outcome score at post-op visits in which 0 equals no pain and 100 equals unbearable pain |
| Outpatient Visual Analog Scale scores | 4 weeks post discharge | Pain scores each day for the first 4 weeks after surgery on the Visual Analog Scale in which 0 equals no pain and 10 equals unbearable pain |
| Outpatient Opioids | 4 weeks post discharge | Opioids consumed after discharge from hospital |
| Patient Reported Outcomes measurement Information System Score | 1 year post-operatively | Patient Reported Outcomes measurement Information System score at post-op visits in which 0 equals no pain and 10 equals extreme pain |
Countries
United States
Contacts
Primary ContactBenjamin Coobs, MD
Backup ContactDaniel Sveom
Outcome results
None listed