Continuous Vs Single Shot Block After ACL

• Status: Recruiting
• Trial end date: 2021-12-01
• Target enrollment: 0
• Participant gender: All

Summary

The investigators will be randomizing patients to either receive an adductor canal block in the operating room postoperatively as single shot of 20-30cc bupivacaine or to have a catheter inserted into the adductor canal which will be attached up to a continuous infusion pump of bupivacaine that will have a set flow rate over the next couple days. The investigators' hypothesis is that patients will have better pain control, sleep, and decreased opioid consumption with the use of a continuous infusion pump

• Phase: Early Phase 1
• Accepts Healthy Volunteers?: Accepts Healthy Volunteers

Details

• Lead Sponsor: Northwell Health
• Treatments: Bupivacaine

Criteria

Inclusion Criteria:

• Provision of signed and dated informed consent form

• Stated willingness to comply with all study procedures and availability for the duration of the study

• Male or female, aged >16 years old

• In good general health as evidenced by medical history and deemed medically healthy enough to tolerate surgery by the patient's primary care physician

• MRI with evidence of ACL tear, and wanting to have an ACL reconstruction surgery

• Ability to take oral medication and be willing to adhere to the study intervention, including telephone calls

• Agrees to complete surveys required on the days specified between 5-9PM

Exclusion Criteria:

• Current daily opioid requirement exceeding the equivalent of 15mg morphine

• Daily prescription of corticosteroid, tricyclic antidepressant, gabapentin, or tramadol

• Carrying the diagnosis of chronic pain syndrome, uncontrolled anxiety, history of schizophrenia or related psychiatric disorders

• History of alcohol or drug abuse/addiction

• History of preexisting nerve damage in the surgical extremity

• Knee surgery (same knee) in the previous 12 weeks

• Anticipated knee surgery in the other knee planned in the ensuing 6 months

• Diabetic patients with blood sugar values exceeding 250 mg/dl in the previous month

• BMI >40Kg/m2

• Pregnancy, which will be determined by a serum or urine HCG test on the day of surgery.

• Incarceration

• Inability to communicate with staff, including being unreachable by telephone

• Revision ACL reconstruction

• Patient reconsideration after initial agreement.

• Non-English speaking subjects