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Continuous lumbar plexus and femoral blocks have been demonstrated to provide effective postoperative analgesia of the lower extremity following total joint arthroplasty. The purpose of this study was to compare these two techniques when used with intravenous patient-controlled analgesia and the use of patient-controlled analgesia alone for postoperative pain management following unilateral total hip arthroplasty.
above may be applied
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PCA;active comparator | Active Comparator | Patients with intravenous PCA hydromorphone alone |
|
| CFB | Active Comparator | Patients with a continuous femoral block (CFB) + PCA hydromorphone |
|
| CLPB | Active Comparator | Patients with a continuous lumbar plexus block + PCA hydromorphone |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| continuous infusion of ropivacaine via CLPB vs. CFB vs IV PCA | Procedure | 0.5% Ropivacaine bolus of 30 ml. followed by ropivacaine 0.2%at 10 ml/hr via CLPB vs. CFB. Hydromorphone 0.3 mg demand only every 10 minutes via IV PCA. |
| Measure | Description | Time Frame |
|---|---|---|
| VAS pain scores | at 24 and 48 hours |
| Measure | Description | Time Frame |
|---|---|---|
| hydromorphone consumption,patient satisfaction,distance ambulated, opioid-related side effects | at 24 and 48 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Joseph Marino, M.D. | Huntington Hospital | Principal Investigator |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |