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Fast-track programs in Orthopaedic Surgery require early motion that can only be achieved by optimal pain management protocols. Multimodal analgesia protocols including local infiltration anesthesia (LIA) have obtained excellent results in fast-track programs involving Total Knee Arthroplasty but further research and data is needed in Total Hip Arthoplasty programs.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Multimodal analgesia + Local Infiltration Anesthesia | Experimental | 100cc of 2% ropivacaine + Adrenaline 10mcg/ml + 20cc saline solution |
|
| Multimodal analgesia + saline solution | Active Comparator | 120cc of saline solution |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 100cc of 2% ropivacaine | Drug | Multimodal analgesia + Local infiltration anesthesia |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain measured in Visual Analog Scale | Pain assesed using Visual Analog Scale ( Scoring from 0 to 10) | Up to 48h postoperatively |
| Measure | Description | Time Frame |
|---|---|---|
| Length of hospital stay | Length of hospital stay measured in days | Up to 1 week |
| Analgesic requirements | Analgesia requirements needed besides protocol medication Measured in miligrams of drug required(Sevredol) Analgesia required by patient |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Universitari Mutua Terrassa | Terrassa | Barcelona | 08221 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33601948 | Derived | Bernaus M, Novellas M, Bartra A, Nunez JH, Angles F. Local infiltration analgesia does not have benefits in fast-track hip arthroplasty programmes: a double-blind, randomised, placebo-controlled, clinical trial. Hip Int. 2022 Nov;32(6):711-716. doi: 10.1177/1120700021992684. Epub 2021 Feb 18. |
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| ID | Term |
|---|---|
| D015207 | Osteoarthritis, Hip |
| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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| ID | Term |
|---|---|
| D000077212 | Ropivacaine |
| D000077330 | Saline Solution |
| D004837 | Epinephrine |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
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| Saline Solution | Drug | Multimodal analgesia + Saline solution |
|
| Adrenaline 10mcg/ml | Drug |
|
| Up to 1 week |
| Complications | Wound dehiscence, Infection, reoperation, dislocation. | Up to 1 week |
| D012216 |
| Rheumatic Diseases |
| D000588 |
| Amines |
| D000077324 | Crystalloid Solutions |
| D007552 | Isotonic Solutions |
| D012996 | Solutions |
| D004364 | Pharmaceutical Preparations |
| D004983 | Ethanolamines |
| D000605 | Amino Alcohols |
| D000438 | Alcohols |
| D015306 | Biogenic Monoamines |
| D001679 | Biogenic Amines |
| D002395 | Catecholamines |
| D002396 | Catechols |
| D010636 | Phenols |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |