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Comparison of lumbar plexus nerve block versus pericapsular injection for pain control during hip arthroscopy
The purpose of this study is to compare two different methods of pain control during and after hip arthroscopy surgery. It is not clear which of many different pain control methods are ideal to reduce pain for patients; consequently, the investigators are performing this study to compare the two main choices for pain control commonly used in order to identify if either is superior to the other.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lumbar Plexus Block | Active Comparator | A lumbar plexus 'nerve block' is a procedure in which local anesthetic ("numbing medicine") is injected around a specific group of nerves to provide pain relief directly to the nerves supplying the area of the body undergoing surgery. |
|
| Pericapsular Injection | Active Comparator | The pericapsular injection is a procedure in which local anesthetic ("numbing medicine") is injected around the hip joint to provide direct pain relief to the area undergoing surgery. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lumbar Plexus BLock | Procedure | Peripheral nerve block |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Pain score | Compare post-operative pain scores in the immediate post-operative period as defined by visual-analog pain scale at the time point of one hour spent in the post-anesthesia care unit (PACU). | At the one hour point in the PACU |
| Measure | Description | Time Frame |
|---|---|---|
| Morphine equivalents | Compare the total morphine equivalents of opioids provided in the PACU within the first two hours of time spent in the PACU | At the two hour point in the PACU |
| Time spent in PACU |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Andrew Wolff, MD | Washington Orthopaedics and Sports Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Washington Orthopedics and Sports Medicine | Chevy Chase | Maryland | 20815 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32757999 | Derived | Scanaliato JP, Christensen D, Polmear MM, Salfiti C, Gaspar PS, Wolff AB. Prospective Single-Blinded Randomized Controlled Trial Comparing Pericapsular Injection Versus Lumbar Plexus Peripheral Nerve Block for Hip Arthroscopy. Am J Sports Med. 2020 Sep;48(11):2740-2746. doi: 10.1177/0363546520943580. Epub 2020 Aug 6. |
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Prospective randomized
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| Pericapsular injection |
| Procedure |
Injection around the area undergoing surgery |
|
Compare the overall time spent in the PACU as defined by time to arrival to time to discharge vitals.
| Immediately after surgery |