Prolonged Multimodal Analgesia for Post-Discharge Pain Control After Primary Total Hip Arthroplasty
| Status: | Completed |
|---|---|
| Conditions: | Arthritis, Osteoarthritis (OA) |
| Therapuetic Areas: | Rheumatology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 1/31/2019 |
| Start Date: | June 5, 2017 |
| End Date: | February 28, 2018 |
This is a prospective, three-arm, comparative study with a provider-crossover design. The
first arm will comprise the standard of care pain regimen after discharge, which comprises
PRN oxycodone, tramadol, and acetaminophen. The second arm will comprise a multimodal pain
regimen; however, patients will still be routinely provided PRN oxycodone and tramadol to use
on an as needed basis. The third arm will comprise a multimodal pain management protocol,
which does not routinely allow for opioid consumption. However, patients will be provided a
one week supply of oxycodone and tramadol for emergency pain relief only.
first arm will comprise the standard of care pain regimen after discharge, which comprises
PRN oxycodone, tramadol, and acetaminophen. The second arm will comprise a multimodal pain
regimen; however, patients will still be routinely provided PRN oxycodone and tramadol to use
on an as needed basis. The third arm will comprise a multimodal pain management protocol,
which does not routinely allow for opioid consumption. However, patients will be provided a
one week supply of oxycodone and tramadol for emergency pain relief only.
Inclusion Criteria:
- Patients undergoing unilateral, primary cementless THA with underlying diagnosis of
osteoarthritis.
- ASA I - III
- Spinal anesthesia
- Male and Female over 18 who are willing and able to provide informed consent
Exclusion Criteria:
- Opioid use within 3 months prior to surgery
- General anesthesia
- Non-english speaking
- ASA IV or greater
- Allergy/contraindications to protocol medications
- Renal insufficiency with Cr > 2.0 or hepatic failure
- Sensory/motor disorder involving the operative limb
- Planned or unplanned discharge to rehab
- Length of stay >3 days
- Revision or conversion THA
- Cigarette smokers
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