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Sponsors and Collaborators: |
NHS Greater Glasgow and Clyde Golden Jubilee National Hospital |
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Information provided by: | NHS Greater Glasgow and Clyde |
ClinicalTrials.gov Identifier: | NCT00696150 |
Studies have suggested a link with effective pain relief and reduced illness and death in very unwell patients. This study will determine the most effective method of injecting local anaesthetic around the nerves which supply the hip joint. Local anaesthetic will be injected around the hips nerve supply using either ultrasound, loss of resistance or electrical nerve stimulator to guide the positioning of the needle on patients due for elective total hip replacement. The patient will then be observed for 30 minutes and the patient ability to move or feel the upper leg will recorded. A standard anaesthetic and a hip replacement operation will then be performed. Standard pain relief protocols will be used the operation and after the operation. After the operation we will record the amount of morphine used and how happy the patients have been with their treatment at 6 hours after the operation and at 24 hours after the operation. The first day the patient is able to walk on their new hip replacement will also be recorded.
Condition | Intervention | Phase |
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Pain |
Procedure: determination of method with highest efficacy (ultrasound or nerve stimulator) Procedure: nerve stimulator Procedure: loss of resistance |
Phase IV |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Double Blind (Caregiver, Outcomes Assessor), Active Control, Parallel Assignment, Efficacy Study |
Official Title: | Can the Use of Ultrasound to Guide the Insertion of a Needle for an Anterior Psoas Compartment Nerve Block Increase Its Efficacy in Comparison to Traditional Techniques Utilising Loss of Resistance and Nerve Stimulation? |
Estimated Enrollment: | 269 |
Study Start Date: | July 2008 |
Estimated Study Completion Date: | August 2010 |
Estimated Primary Completion Date: | July 2010 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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loss of resistance: Placebo Comparator
Anterior psoas compartment nerve block inserted using loss of resistance
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Procedure: loss of resistance
Use of ultrasound to guide the insertion of anterior psoas compartment block
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nerve stimulator: Active Comparator
Anterior psoas compartment nerve block inserted using nerve stimulator
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Procedure: determination of method with highest efficacy (ultrasound or nerve stimulator)
Use of ultrasound to guide the insertion of anterior psoas compartment block
Procedure: nerve stimulator
The use of the nerve stimulator to guide insertion of the anterior psoas compartment block
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ultrasound: Active Comparator
Anterior psoas compartment nerve block inserted using ultrasound
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Procedure: determination of method with highest efficacy (ultrasound or nerve stimulator)
Use of ultrasound to guide the insertion of anterior psoas compartment block
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Ages Eligible for Study: | 35 Years to 90 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contact: Malcolm Watson, MBChB, MRCP, FRCA | 01412116291 | mwatson@doctors.org.uk |
United Kingdom, Lanarkshire | |
Gartnavel General hospital | |
Glasgow, Lanarkshire, United Kingdom, G12 0YN | |
Golden Jubilee hospital | |
Glasgow, Lanarkshire, United Kingdom | |
Glasgow Royal Infrimary | |
Glasgow, Lanarkshire, United Kingdom, G4 | |
United Kingdom, Renfrewshire | |
Royal alexandra hospital | |
Paisley, Renfrewshire, United Kingdom, PA2 |
Study Chair: | Malcolm watson, MB ChB FRCA | NHS greater glasgow and clyde health board |
Responsible Party: | NHS Greater Glasgow and Clyde health board ( Dr Erica Packard ) |
Study ID Numbers: | ultrasound for hip # study-1, CSO reference CAF/07/05 |
Study First Received: | June 9, 2008 |
Last Updated: | June 11, 2008 |
ClinicalTrials.gov Identifier: | NCT00696150 |
Health Authority: | United Kingdom: Department of Health |
ultrasound hip pain |
Pain |