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Adductor Canal Block: Continuous Infusion Versus Automatic Intermittent Bolus

Primary Purpose

Injury of Anterior Cruciate Ligament

Status
Completed
Phase
Not Applicable
Locations
Italy
Study Type
Interventional
Intervention
Continuous Infusion of ropivacaine 0.2%
Automatic Intermittent Bolus of ropivacaine 0.2%
Sponsored by
ASST Gaetano Pini-CTO
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Injury of Anterior Cruciate Ligament

Eligibility Criteria

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

Inclusion Criteria:

  • Age above 18 years old
  • American society of anesthesiology (ASA) physical status I-II
  • Signed informed consensus

Exclusion Criteria:

  • ASA >II
  • Unstable neurological disease
  • Diabetic mellitus (DM) type I-II
  • Allergy to used drugs
  • Opioid chronic treatment
  • Consensus refusal or not valid
  • Anticoagulant therapy
  • Postoperative intensive care required

Sites / Locations

  • Istituto ortopedico Gaetano Pini

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Continuous Infusion

Automatic Intermittent Bolus

Arm Description

Patients receive a postoperative continuous infusion of Ropivacaine 0,2% at 6 ml/h and 4 ml PCA bolus, lockout 20 minutes via electronic infusion pump (Micrel device, Greece).

Patients receive a postoperative Automatic Intermittent Bolus of 6 ml Ropivacaine 0,2% and 4 ml PCA bolus, lockout 20 minutes every hour via electronic infusion pump (Micrel device, Greece).

Outcomes

Primary Outcome Measures

NRS Score
Evaluation of numeric rating score (NRS) in patient with automatic intermittent bolus of Ropivacaine 0,2% instead of classic continuous perfusion

Secondary Outcome Measures

Up and Go test
"up and go" test: time need to get up from a chair, walk for 3 meters, and come back to seat down on the chair
Opioids request
Opioids consumption will be recorded throughout 72 postoperative hours
Local anesthetic consumption
Evaluation of local anesthesia consumption every 6h in first 72 postoperative hours.
10mt walk test
time need to walk 10 meters

Full Information

First Posted
October 27, 2015
Last Updated
August 11, 2017
Sponsor
ASST Gaetano Pini-CTO
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1. Study Identification

Unique Protocol Identification Number
NCT02589288
Brief Title
Adductor Canal Block: Continuous Infusion Versus Automatic Intermittent Bolus
Official Title
Adductor Canal Block: Continuous Infusion Versus Automatic Intermittent Bolus For Postoperative Analgesia After Day-Case Anterior Cruciate Ligament Reconstruction
Study Type
Interventional

2. Study Status

Record Verification Date
August 2017
Overall Recruitment Status
Completed
Study Start Date
November 2015 (undefined)
Primary Completion Date
December 2016 (Actual)
Study Completion Date
March 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
ASST Gaetano Pini-CTO

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The aim of this prospective, randomized , blinded study is to compare two different infusion techniques (continuous VS intermittent automatic bolus) to assess the effects of postoperative analgesia after Day-Case anterior cruciate ligament (ACL) reconstruction.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Injury of Anterior Cruciate Ligament

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Investigator
Allocation
Randomized
Enrollment
80 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Continuous Infusion
Arm Type
Active Comparator
Arm Description
Patients receive a postoperative continuous infusion of Ropivacaine 0,2% at 6 ml/h and 4 ml PCA bolus, lockout 20 minutes via electronic infusion pump (Micrel device, Greece).
Arm Title
Automatic Intermittent Bolus
Arm Type
Experimental
Arm Description
Patients receive a postoperative Automatic Intermittent Bolus of 6 ml Ropivacaine 0,2% and 4 ml PCA bolus, lockout 20 minutes every hour via electronic infusion pump (Micrel device, Greece).
Intervention Type
Procedure
Intervention Name(s)
Continuous Infusion of ropivacaine 0.2%
Other Intervention Name(s)
naropine 0.2%
Intervention Description
Postoperative continuous infusion of Ropivacaine 0,2% at 6 ml/h and 4 ml PCA bolus, lockout 20 minutes via electronic infusion pump (Micrel device, Greece).
Intervention Type
Procedure
Intervention Name(s)
Automatic Intermittent Bolus of ropivacaine 0.2%
Intervention Description
Postoperative Automatic Intermittent Bolus of 6 ml Ropivacaine 0,2% every hour and 4 ml PCA bolus, lockout 20 minutes via electronic infusion pump (Micrel device, Greece).
Primary Outcome Measure Information:
Title
NRS Score
Description
Evaluation of numeric rating score (NRS) in patient with automatic intermittent bolus of Ropivacaine 0,2% instead of classic continuous perfusion
Time Frame
72h postoperative
Secondary Outcome Measure Information:
Title
Up and Go test
Description
"up and go" test: time need to get up from a chair, walk for 3 meters, and come back to seat down on the chair
Time Frame
72h postoperative
Title
Opioids request
Description
Opioids consumption will be recorded throughout 72 postoperative hours
Time Frame
72h postoperative
Title
Local anesthetic consumption
Description
Evaluation of local anesthesia consumption every 6h in first 72 postoperative hours.
Time Frame
72h postoperative
Title
10mt walk test
Description
time need to walk 10 meters
Time Frame
72h postoperative

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age above 18 years old American society of anesthesiology (ASA) physical status I-II Signed informed consensus Exclusion Criteria: ASA >II Unstable neurological disease Diabetic mellitus (DM) type I-II Allergy to used drugs Opioid chronic treatment Consensus refusal or not valid Anticoagulant therapy Postoperative intensive care required
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gianluca Cappelleri, MD
Organizational Affiliation
Study Principal Investigator
Official's Role
Principal Investigator
Facility Information:
Facility Name
Istituto ortopedico Gaetano Pini
City
Milan
Country
Italy

12. IPD Sharing Statement

Learn more about this trial

Adductor Canal Block: Continuous Infusion Versus Automatic Intermittent Bolus

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