Lumbar Plexus Catheter Versus Femoral Nerve Catheter for Postoperative Pain After Anterior Cruciate Ligament (ACL) Repair

Study Overview
=================
Brief Summary
-----------------
Randomized trial comparing lumbar plexus catheter versus femoral nerve catheter (single-shot femoral block as control group) for postoperative pain control after anterior cruciate ligament repair in children (age 11-21). Primary outcome is pain scores for the first 72 hours. Secondary outcomes include opioid consumption, incidence of opioid side effects and quality of recovery (previously validated scale). Our hypothesis is that lumbar plexus catheter will provide superior pain control and overall quality of recovery compared to femoral nerve catheters.

Official Title
-----------------
Lumbar Plexus Catheter Versus Femoral Nerve Catheter Versus Single-shot Femoral Block for Postoperative Pain Control After Anterior Cruciate Ligament Reconstruction

Conditions
-----------------
Postoperative Pain

Intervention / Treatment
-----------------
* Procedure: lumbar plexus catheter
* Procedure: femoral nerve catheter
* Procedure: single-shot femoral block


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: ASA physical status 1-2 Age 11-21 Undergoing anterior cruciate ligament repair Exclusion Criteria: Patient refusal Coagulopathy Systemic infection or infection at needle insertion site Allergy to ropivacaine or opioids Taking chronic opioids Unavailable by phone

Ages Eligible for Study
-----------------
Minimum Age: 11 Years
Maximum Age: 21 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Lumbar plexus catheter<br> | Procedure: lumbar plexus catheter<br>* lumbar plexus catheter with 0.2% ropivacaine at 0.15 ml/kg/hr (max 10 ml/hr)<br>* Other names: psoas compartment catheter;|
| Active Comparator: femoral nerve catheter<br> | Procedure: femoral nerve catheter<br>* femoral nerve catheter with 0.2% ropivacaine at 0.15 ml/kg/hr (max 10 ml/hr)<br>|
| Active Comparator: single-shot femoral block<br> | Procedure: single-shot femoral block<br>* single-shot femoral block with 0.2% ropivacaine 0.3 ml/kg (max 20 ml)<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Postoperative pain scores |  | 72 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quality of recovery |  | 72 hours | 
| Opioid consumption |  | 72 hours | 
| Opioid side effects |  | 72 hours | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
anterior cruciate ligament, pain, postoperative, peripheral nerve catheter, nerve block, Children undergoing anterior cruciate ligament repair