Status:
COMPLETED
Optimizing Catheter Insertion Technique for Ultrasound-guided Continuous Peripheral Nerve Blocks
Lead Sponsor:
VA Palo Alto Health Care System
Conditions:
Pain, Postoperative
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
Continuous peripheral nerve blocks (CPNB; also known as "perineural" catheters) provide target-specific pain control for a variety of surgeries. There has been increasing interest in the use of ultras...
Detailed Description
Primary Aim: To determine if there is an optimal scanning technique for ultrasound-guided perineural catheter insertion that will result in the most accurate tip placement in proximity to the target n...
Eligibility Criteria
Inclusion
- Inclusion criteria:
- At least 18 years of age;
- Undergoing unilateral, upper (at or distal to the elbow) or lower (hip or distal) extremity orthopedic surgery, with moderate-to-severe postoperative pain expected; and
- Desiring a continuous perineural catheter for postoperative analgesia.
- Exclusion criteria:
- Patients who will have difficulty understanding the study protocol or caring for the infusion pump/catheter system; or
- Patients with any known contraindication to study medications, insulin-dependent diabetes mellitus, neuropathy of any etiology in the affected extremity;
- Patients with a contraindication to regional blockade (eg, clotting deficiency);
- Patients with any known acute or chronic hepatic or renal insufficiency or failure;
- Patients with any additional surgical site outside of the catheter-affected area (eg, iliac crest bone graft in addition to hand surgery);
- Patients with chronic opioid use (defined as daily use for more than 4 weeks prior to surgery) or active illicit substance abuse;
- Patient weighing \< 40 kg;
- Pregnancy;
- Incarceration; or
- Inability to communicate with the investigators and hospital staff.
Exclusion
Key Trial Info
Start Date :
October 1 2011
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
May 1 2014
Estimated Enrollment :
200 Patients enrolled
Trial Details
Trial ID
NCT01459523
Start Date
October 1 2011
End Date
May 1 2014
Last Update
May 4 2021
Active Locations (1)
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1
VA Palo Alto Health System
Palo Alto, California, United States, 94304