Viewing Study NCT00135889



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Last Modification Date: 2024-10-26 @ 9:13 AM
Study NCT ID: NCT00135889
Status: COMPLETED
Last Update Posted: 2009-10-08
First Post: 2005-08-24

Brief Title: Continuous Femoral Nerve Block Following Total Knee Replacement
Sponsor: National Institute of General Medical Sciences NIGMS
Organization: National Institute of General Medical Sciences NIGMS

Study Overview

Official Title: Improving Postoperative Rehabilitation Following Total Knee Arthroplasty With Perineural Local Anesthetic Infusion
Status: COMPLETED
Status Verified Date: 2009-10
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: The purpose of this study is to determine if putting local anesthetic-or numbing medication-through a tiny tube next to the nerves that go to the knee will improve pain control during physical therapy and ultimately improve the results of surgery It will also determine if patients having knee replacement surgery may receive the same or better pain control at home compared with staying in the hospital and if this improves their experience following surgery
Detailed Description: What procedures would be done as part of your normal clinical care even if you did not participate in this research

You will have some monitors placed such as a blood-pressure cuff and be given some medicines through your intravenous IV line to make you very sleepy The anesthesiologist will then place a nerve block so that much of your knee not all will be numb At the same time the anesthesiologist will place a tiny tube called a catheter near your nerves that will be used after the surgery is over You will still go to sleep for the surgery but you will be much more comfortable when you wake up because the numbing medicine will be working to take away much of the pain If you are not part of this study you would go from the recovery room to a room in the hospital for 3-5 days and your catheter would be removed the morning following surgery After your catheter was removed you would depend on oral and IV opioids-or pain medicine-to control your surgical pain You would go home with only oral opioids since IV opioids cannot be provided at home

What procedures will be done only because you are participating in this research study

From the recovery room you will go to the Clinical Research Center CRC which is a special part of the hospital where research is undertaken During your stay at the CRC you will have the ability to push a button on a small infusion pump to give yourself more medicine through the tube to your nerves if you have pain If this does not help enough you will take pain pills to help And if this does not help enough you will be given opioids strong pain medicine like morphine into your IV Each morning after surgery the medicine in your little infusion pump will be replaced by either 1 more medicine or 2 salt water or normal saline The pharmacist will determine this randomly-like flipping a coin-and neither you nor the doctorsnurses caring for you will know which you have This is to keep any of us from inadvertentlyunconsciously affecting the results of the study However if you have pain that is not controlled with pain pills you will be switched back to the regular medicine to improve your comfort until the following morning You will undergo physical therapy and following this you will be checked to see if you are ready to go home When you are ready to go home beginning on the third day after surgery you may go home with the little infusion pump and the tube that goes to the nerves of your knee One of the study physicians will call you each night to ensure that you are comfortable for the first 7 nights after your surgery and you will be given the phone and pager numbers of a physician available for you to contact 24 hoursday 7 daysweek When the medicine runs out or in the fourth evening following surgery whichever comes first your catheter will be removed The pump is disposable so it can be thrown away A physician will call you the two nights after the catheter comes out to ensure that you are comfortable

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: None
Is a FDA Regulated Device?: None
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None
Secondary IDs
Secondary ID Type Domain Link
GCRC Grant RR00082 None None None
GCRC 582 None None None