Single Shot Versus OnQ Pump in Extremity Fractures
Status:
Completed
Trial end date:
2018-12-13
Target enrollment:
Participant gender:
Summary
Peripheral nerve blocks have been well studied in the literature with generally good results
for controlling post operative pain following orthopaedic surgery. Regional anesthesia has
many benefits. It provides excellent intraoperative anesthesia and muscle relaxation as well
as analgesia that continues into the post-operative period. These regional blocks are also
effective in controlling pain in the immediate post-operative period. However, as the block
wears off, patients begin experiencing increased pain. Compared to patients treated without
regional blocks, these patients will often experience a "rebound pain"--pain occurring 12-24
hours after surgery that is subjectively worse than that in patients treated without regional
blocks. Therefore, the investigators propose to use a continuous infusion of anesthetic in
order to provide sustained pain control post-operatively. Preoperatively, patients will be
randomized into a single shot peripheral nerve block versus a continuous infusion of
peripheral nerve block. Post-operatively, pain will be assessed using the Visual Analogue
Scale (1-100) prior to being discharged from PACU. Time to discharge and amount of pain
medication taken will be recorded. Patients will be contacted at certain time intervals
postoperatively to assess their pain scale and pain medication intake. Patients will be seen
for routine post-operative follow-up visits where they will be assessed for satisfaction,
pain, residual neurological symptoms, and signs of infection.
Phase:
Phase 4
Details
Lead Sponsor:
New York University School of Medicine NYU Langone Health