Trial Outcomes & Findings for A Retrospective Investigation of Local Anesthetic Concentrations in Femoral Nerve Block (NCT NCT02501135)

NCT ID: NCT02501135

Last Updated: 2019-03-06

Results Overview

Recruitment status

COMPLETED

Target enrollment

281 participants

Primary outcome timeframe

length of surgery

Results posted on

2019-03-06

Participant Flow

Participant milestones

Participant milestones
Measure
Femoral Nerve Blocks
Patients who receive ropivacaine or bupivacaine during femoral nerve block. Femoral nerve block with ropivacaine or bupivacaine
Overall Study
STARTED
281
Overall Study
COMPLETED
281
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Retrospective Investigation of Local Anesthetic Concentrations in Femoral Nerve Block

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Femoral Nerve Blocks
n=281 Participants
Patients who receive ropivacaine or bupivacaine during femoral nerve block. Femoral nerve block with ropivacaine or bupivacaine
Age, Categorical
<=18 years
281 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=99 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
Age, Continuous
14.5 years
n=99 Participants
Sex: Female, Male
Female
109 Participants
n=99 Participants
Sex: Female, Male
Male
172 Participants
n=99 Participants
Region of Enrollment
United States
281 participants
n=99 Participants

PRIMARY outcome

Timeframe: length of surgery

Outcome measures

Outcome measures
Measure
Femoral Nerve Blocks
n=281 Participants
Patients who receive ropivacaine or bupivacaine during femoral nerve block. Femoral nerve block with ropivacaine or bupivacaine
Concentration of Local Anesthetic Injected for Femoral Nerve Block
Patients who received ropivacaine 0.2%
117 Participants
Concentration of Local Anesthetic Injected for Femoral Nerve Block
Patients who received ropivacaine 0.5%
81 Participants
Concentration of Local Anesthetic Injected for Femoral Nerve Block
Patients who received bupivacaine 0.25%
83 Participants

PRIMARY outcome

Timeframe: length of surgery

Outcome measures

Outcome measures
Measure
Femoral Nerve Blocks
n=281 Participants
Patients who receive ropivacaine or bupivacaine during femoral nerve block. Femoral nerve block with ropivacaine or bupivacaine
Total mg of Local Anesthetic Injected for Femoral Nerve Block
Amount of ropivacaine 0.2%
0.27 ml/kg
Interval 0.22 to 0.35
Total mg of Local Anesthetic Injected for Femoral Nerve Block
Amount of ropivacaine 0.5%
0.29 ml/kg
Interval 0.22 to 0.35
Total mg of Local Anesthetic Injected for Femoral Nerve Block
Amount of bupivacaine 0.25%
0.25 ml/kg
Interval 0.19 to 0.32

PRIMARY outcome

Timeframe: length of surgery

Amount of Tylenol administered based on if got ropivacaine or bupivacaine femeral nerve block.

Outcome measures

Outcome measures
Measure
Femoral Nerve Blocks
n=281 Participants
Patients who receive ropivacaine or bupivacaine during femoral nerve block. Femoral nerve block with ropivacaine or bupivacaine
Intraoperative Tylenol Administered
Increased Tylenol use in ropivacaine 0.5% NB
16 percentage of participants
Intraoperative Tylenol Administered
Increased Tylenol use in ropivacaine 0.2% NB
4 percentage of participants
Intraoperative Tylenol Administered
Increased Tylenol use in bupivacaine 0.25% NB
1 percentage of participants

PRIMARY outcome

Timeframe: in PACU (1 hr post-op)

Amount of opioid consumption in the post operative anesthesia care unit depending on if the patient received femoral nerve block with ropivacaine or bupivacaine

Outcome measures

Outcome measures
Measure
Femoral Nerve Blocks
n=281 Participants
Patients who receive ropivacaine or bupivacaine during femoral nerve block. Femoral nerve block with ropivacaine or bupivacaine
Post-operative Opioids Administered
IV Morphine who got ropivacaine 0.5% nerve block
0 mg/kg
Interval 0.0 to 0.04
Post-operative Opioids Administered
IV Morphine who got ropivacaine 0.2% nerve block
0.02 mg/kg
Interval 0.0 to 0.07
Post-operative Opioids Administered
IV Morphine who got bupivacaine 0.25% nerve block
0.02 mg/kg
Interval 0.0 to 0.08

SECONDARY outcome

Timeframe: Conclusion of surgery until admission to assigned unit or to phase, an expected average of 1 hour

Population: One patient was excluded from analysis of time to PACU discharge due to a missing PACU arrival time.

Outcome measures

Outcome measures
Measure
Femoral Nerve Blocks
n=280 Participants
Patients who receive ropivacaine or bupivacaine during femoral nerve block. Femoral nerve block with ropivacaine or bupivacaine
Time to Discharge From PACU
PACU time in pt who got ropivacaine 0.2%
57 minutes
Interval 41.0 to 76.0
Time to Discharge From PACU
PACU time in pt who got ropivacaine 0.5%
47 minutes
Interval 36.0 to 68.0
Time to Discharge From PACU
PACU time in pt who got bupivacaine 0.25%
55 minutes
Interval 35.0 to 80.0

SECONDARY outcome

Timeframe: 1 hour post-op

Population: 63 of the 281 total subjects had their pain assessed using the FLACC pain scale.

The Face, Legs, Activity, Cry, Consolability scale or FLACC scale is a measurement used to assess pain for children between the ages of 2 months and 7 years or individuals that are unable to communicate their pain. The scale is scored in a range of 0-10 with 0 representing no pain.

Outcome measures

Outcome measures
Measure
Femoral Nerve Blocks
n=63 Participants
Patients who receive ropivacaine or bupivacaine during femoral nerve block. Femoral nerve block with ropivacaine or bupivacaine
Post-operative Pain Scale Using FLACC
FLACC in patient who had bupivacaine 0.25%
0 units on a scale
Interval 0.0 to 0.0
Post-operative Pain Scale Using FLACC
FLACC in patient who had ropivacaine 0.2%
0 units on a scale
Interval 0.0 to 2.0
Post-operative Pain Scale Using FLACC
FLACC in patient who had ropivacaine 0.5%
0 units on a scale
Interval 0.0 to 0.0

SECONDARY outcome

Timeframe: 1 hour post-op

Population: 197 out of the total 281 subjects had their pain assessed using VAS.

The visual analogue scale (VAS) for pain is a validated, subjective measure where scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between "no pain" and "worst pain."

Outcome measures

Outcome measures
Measure
Femoral Nerve Blocks
n=197 Participants
Patients who receive ropivacaine or bupivacaine during femoral nerve block. Femoral nerve block with ropivacaine or bupivacaine
Post-operative Pain Scale Using VAS
Ropivacaine 0.2%
0 units on a scale
Interval 0.0 to 5.0
Post-operative Pain Scale Using VAS
Ropivacaine 0.5%
0 units on a scale
Interval 0.0 to 4.0
Post-operative Pain Scale Using VAS
Bupivacaine 0.25%
0 units on a scale
Interval 0.0 to 6.0

Adverse Events

Femoral Nerve Blocks

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Clinical Research Coordinator

Nationwide Children's Hospital

Phone: 6147222997

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place