ACL Repair and Multimodal Analgesia

ACL Repair and Multimodal Analgesia

This study will evaluate the effectiveness of an aggressive multimodal regimen versus standard multimodal for Anterior Cruciate Ligament (ACL) repair using hamstring graft for patients having surgery in our outpatient surgicenter.

Inclusion Criteria:

• Patients of orthopedic surgeons on the study team scheduled for ACL repair using hamstring graft from the same leg will be considered for inclusion in this study. Other inclusion criteria are as follows:

  • American Society of Anesthesiologists (ASA) physical status 1-3
  • BMI of < 40 kg/m2
  • Consents to general anesthesia and pre-operative femoral nerve block for case

Exclusion Criteria:

• Any contraindication to a femoral nerve block
• Allergy to local anesthetics, nonsteroidal anti-inflammatory medications, ketamine, acetaminophen, hydromorphone, oxycodone
• Peripheral or central nervous system disease
• Renal or hepatic impairment
• History of opioid dependence or current regular narcotic use
• Significant psychiatric disease
• Pregnancy or lactation (by verbal report)
• Seizure Disorder
• History of post-operative nausea and vomiting
• Latex allergy
• Clinically significant cardiac or pulmonary disease