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
COMPLETED
281 participants
length of surgery
2019-03-06
Participant Flow
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
| 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 surgeryOutcome 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 surgeryOutcome 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 surgeryAmount of Tylenol administered based on if got ropivacaine or bupivacaine femeral nerve block.
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
| 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 hourPopulation: One patient was excluded from analysis of time to PACU discharge due to a missing PACU arrival time.
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-opPopulation: 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
| 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-opPopulation: 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
| 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 adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Clinical Research Coordinator
Nationwide Children's Hospital
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place