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The Influence of Local Infiltration Analgesia by Catheter in Postoperative Control Pain After Total Hip Replacement (ILIACPCPTHR)

Primary Purpose

Musculoskeletal Pain, Hip Injuries

Status
Completed
Phase
Phase 4
Locations
Spain
Study Type
Interventional
Intervention
Bupivacaine hydrochloride
Physiological Saline
Sponsored by
Parc de Salut Mar
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Musculoskeletal Pain

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Primary total Hip Replacement

Exclusion Criteria:

  • Allergic to Bupivacaine

Sites / Locations

  • Hospital del Mar

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Active Comparator

Placebo Comparator

Active Comparator

Placebo Comparator

Arm Label

Intraarticular Catheter with anesthesic

Intraarticular Physiological Saline

Perifascial Catheter with anesthesic

Perifascial Physiological Saline

Arm Description

Intraarticular infusion with Bupivacaine Hydrochloride

Infusion of Physiological Saline [Flebobag Salina Fisiologica Grifols 0.9%] Sterile Solution by intraarticular catheter

Perifascial infusion with Bupivacaine Hydrochloride

Infusion of Physiological Saline [Flebobag Salina Fisiologica Grifols 0.9%] Sterile Solution by Perifascial catheter

Outcomes

Primary Outcome Measures

Change in pain measured with a visual analog scale
Visual analog pain scale score every eight hours for 36 hours postoperatively

Secondary Outcome Measures

Full Information

First Posted
November 30, 2015
Last Updated
October 10, 2016
Sponsor
Parc de Salut Mar
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1. Study Identification

Unique Protocol Identification Number
NCT02630160
Brief Title
The Influence of Local Infiltration Analgesia by Catheter in Postoperative Control Pain After Total Hip Replacement
Acronym
ILIACPCPTHR
Official Title
The Influence of Local Infiltration Analgesia by Catheter in Postoperative Control Pain After Total Hip Replacement
Study Type
Interventional

2. Study Status

Record Verification Date
December 2015
Overall Recruitment Status
Completed
Study Start Date
March 2013 (undefined)
Primary Completion Date
May 2014 (Actual)
Study Completion Date
June 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Parc de Salut Mar

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
A randomized double-blind clinical trial was performed. There were 4 groups according to catheter placement and infusion constituents: 1) Intraarticular catheter + anesthetics; 2) Intraarticular catheter +placebo; 3) Subfascial catheter + anesthetics; 4) Subfascial catheter + placebo. The anesthetics infusion contained bupivacaine (bolus + continuous perfusion up to 36 hours). The placebo solution consisted in physiological serum (bolus + continuous perfusion up to 36 hours). Randomization was performed in the hospital pharmacy and the surgeon kept out the surgical field when the resident placed the catheter. The same conventional analgesic schedule was prescribed to all patients: PCA (patient controlled analgesia) + paracetamol 1g/6h + dexketoprofen 50mg/12h. The pain was evaluated by means of PCA (patient controlled analgesia) shots and the VAS (visual analog scale). Side effects, time to start rehabilitation and time to discharge were also analyzed. A statistical analysis was performed to compare all this variables between the 4 groups (SPSS 18.0).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Musculoskeletal Pain, Hip Injuries

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
100 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Intraarticular Catheter with anesthesic
Arm Type
Active Comparator
Arm Description
Intraarticular infusion with Bupivacaine Hydrochloride
Arm Title
Intraarticular Physiological Saline
Arm Type
Placebo Comparator
Arm Description
Infusion of Physiological Saline [Flebobag Salina Fisiologica Grifols 0.9%] Sterile Solution by intraarticular catheter
Arm Title
Perifascial Catheter with anesthesic
Arm Type
Active Comparator
Arm Description
Perifascial infusion with Bupivacaine Hydrochloride
Arm Title
Perifascial Physiological Saline
Arm Type
Placebo Comparator
Arm Description
Infusion of Physiological Saline [Flebobag Salina Fisiologica Grifols 0.9%] Sterile Solution by Perifascial catheter
Intervention Type
Drug
Intervention Name(s)
Bupivacaine hydrochloride
Other Intervention Name(s)
Bupivacaine / epinephrine, Vivacaine
Intervention Description
Intraarticular infusion with bupivacaine
Intervention Type
Other
Intervention Name(s)
Physiological Saline
Other Intervention Name(s)
Flebobag Salina Fisiologica Grifols 0.9%
Intervention Description
Intraarticular infusion physiological serum
Primary Outcome Measure Information:
Title
Change in pain measured with a visual analog scale
Description
Visual analog pain scale score every eight hours for 36 hours postoperatively
Time Frame
36 hours

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Primary total Hip Replacement Exclusion Criteria: Allergic to Bupivacaine
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Daniel Pérez Prieto
Organizational Affiliation
Hospital del Mar
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Marta Cuenca Llavall
Organizational Affiliation
Hospital del Mar
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Fernando Marques Lopez
Organizational Affiliation
Hospital del Mar
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Alfonso Leon Garcia
Organizational Affiliation
Hospital del Mar
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Francisco Javier Santiveri Papiol
Organizational Affiliation
Hospital del Mar
Official's Role
Study Chair
Facility Information:
Facility Name
Hospital del Mar
City
Barcelona
ZIP/Postal Code
08003
Country
Spain

12. IPD Sharing Statement

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The Influence of Local Infiltration Analgesia by Catheter in Postoperative Control Pain After Total Hip Replacement

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