Anesthesia, Post Operative Pain
Conditions
Keywords
postoperative, orthopedic surgery
Brief summary
This study is to investigate whether a different volume of ropivacaine, with the same prescribed dosage based on body weight, can affect block efficacy, duration and side effects in the first 24 hours postoperatively.
Detailed description
patients were divided into 3 groups on the basis of the volume of anesthetic given to perform the block. in every patient was assessed the nrs, the side effects, if any, and the need for analgesic drugs in the first 24 hour after surgery
Interventions
The local anesthetic was dosed on the patient's weight (50-59kg: 120mg, 60-61kg: 140mg, 70-79kg: 160mg, ≥80kg: 180mg)
Sponsors
Study design
Eligibility
Inclusion criteria
* ASA I, ASA II, ASA III * Age≥18 * Total hip replacement surgery in spinal anesthesia * Informed consent
Exclusion criteria
* ASA IV * INR\>1.3 * platelet values\<100\*10\^3/ml a * patients on anticoagulant or antiplatelet therapy * general anesthesia for total hip replacement surgery * patients on chronic opioid therapy * altered sensitivity or motility * Patients in chronic opioid therapy * Refuse to sign informed consent form * Unable to sign informed consent form * Know allergies to medication used for analgesia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| NRS evaluation | 24h post-op | Evaluate pain for every volume group in the first 24 hours post surgery using the Numeric Pain Scale (NRS) assigning a numeric value between zero (no pain) and ten (the worst pain ever felt). Absence of relevant pain is considered a NRS less than three. Success of the block was defined as NRS≤3. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| NRS variation in time | 24 h | consider variation of pain, assessed with numeric Pain scale, for each group, every six hours |
Other
| Measure | Time frame | Description |
|---|---|---|
| presence of side effects | 24 hours | Monitoring the onset of side effects (nausea/vomiting/hypotension/dizziness/sensitive impareiment) in every group of patients in the first 24 hours every six hours |
| analgesic requirements | 24 hours | requirement of analgesic to control the pain, assessed every six hours |
Countries
Italy