Regional Anesthesia in Pediatric Orthopaedic Patients
Anesthesia, Local, Anesthesia, Orthopedic Disorder
About this trial
This is an interventional treatment trial for Anesthesia, Local
Eligibility Criteria
Inclusion Criteria:
- Patients undergoing primary orthopaedic limb surgery
- Outpatient orthopaedic surgeries
- Patients undergoing orthopaedic surgery who would normally receive regional anesthesia
Exclusion Criteria:
- Patients younger than 5 years of ago or older than 18 years of age
- Revision orthopaedic surgeries
- Spinal orthopaedic surgeries
- Orthopaedic surgeries where the standard of care for type of regional anesthesia has been established (continuous regional for ACL reconstruction)
- Patients with the inability to articulate pain scores
- Inpatient orthopaedic surgeries
- Patients undergoing orthopaedic limb surgery with risk of compartment syndrome (i.e. acute supracondylar humerus fractures)
Sites / Locations
- Ochsner Medical CenterRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Experimental
Continuous Regional Anesthesia Lower Limb Surgery
Single Shot Regional Anesthesia Lower Limb Surgery
Continuous Regional Anesthesia Upper Limb Surgery
Single Shot Regional Anesthesia Upper Limb Surgery
Various types of regional anesthesia blocks will be performed based on the patient's injuries including fascia iliaca plane blocks, femoral nerve blocks, adductor canal blocks, popliteal approach sciatic nerve blocks, and saphenous nerve blocks A catheter will be placed for the given block for 48 hours. Those patients undergoing lower limb orthopaedic surgery will be randomized into single shot or continuous (catheter) regional anesthesia.
Various types of regional anesthesia blocks will be performed based on the patient's injuries including fascia iliaca plane blocks, femoral nerve blocks, adductor canal blocks, popliteal approach sciatic nerve blocks, and saphenous nerve blocks. These blocks will be given via a single dose or "single shot". Those patients undergoing lower limb orthopaedic surgery will be randomized into single shot or continuous (catheter) regional anesthesia.
Various types of regional anesthesia blocks involving the brachial plexus will be performed based on the patient's injuries. A catheter will be placed for the given block for 48 hours. Those patients undergoing upper limb orthopaedic surgery will be randomized into single shot or continuous (catheter) regional anesthesia.
Various types of regional anesthesia blocks involving the brachial plexus will be performed based on the patient's injuries. A catheter will be placed for the given block for 48 hours. Those patients undergoing upper limb orthopaedic surgery will be randomized into single shot or continuous (catheter) regional anesthesia.