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Patients undergoing elbow arthroscopy surgery will receive standard anesthesia and analgesia (infraclavicular nerve block combined with general anesthesia for surgery; continuous infusion via infraclavicular catheter to day 3 post op). Patients in the experimental group will be discharged home after one day, with infraclavicular catheter in place; patients in the comparator group will stay in hospital for 3 or 4 days, per standard practice. The study will compare range of motion as the primary endpoint, in a non-inferiority design, to see if early discharge is feasible while providing similar recovery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Early discharge | Experimental | Patients will be discharged home on the first day after surgery, with infraclavicular catheter infusion of local anesthetic in place. |
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| Normal Discharge | Active Comparator | Patients will remain in hospital and be discharged per current discharge criteria, once the infraclavicular catheter has been removed on day 3 post op. Typical discharge occurs on day 3 or 4 post op. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Elbow arthroscopy with infraclavicular nerve block and continuous local anesthetic infusion to day 3 post op. | Procedure | Patients undergoing elbow arthroscopy surgery will receive standard anesthesia/analgesia, including infraclavicular nerve block and general anesthesia for surgery followed by infraclavicular catheter infusion of local anesthetic until day 3 after surgery. |
| Measure | Description | Time Frame |
|---|---|---|
| Range of Motion | Range of motion at the elbow will be measured vs. baseline to determine surgical success. | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Post-operative analgesia | Pain scores, by visual analogue scale, will be used to determine patient satisfaction with analgesia to day 3 after surgery. | 3 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Anahi Perlas, MD | University Health Network, Toronto | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Toronto Western Hospital | Toronto | Ontario | M5T 2S8 | Canada |
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| Early Discharge | Other | Patients will be discharged home on the first day after surgery, with infraclavicular catheter infusion of local anesthetic in place. |
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| Normal Discharge | Other | Patients will remain in hospital and be discharged per current discharge criteria, once the infraclavicular catheter has been removed on day 3 post op. Typical discharge occurs on day 3 or 4 post op. |
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