Official Title
Foot and Ankle Clinic Application for Liposomal Related Anesthetic
Phase
Phase 4Lead Sponsor
OrthoCarolina Research InstituteStudy Type
InterventionalStatus
Completed Results PostedIndication/Condition
Ankle Arthrodesis Hindfoot Arthrodesis Tibitalocalceal ArthrodesisIntervention/Treatment
levobupivacaine ...Study Participants
36The purpose of this study is to review the use of surgeon applied liposomal release anesthetic (Exparel) for post operative analgesia.
Hypothesis: Surgeon applied use of liposomal related anesthetic provides excellent post operative analgesia. Immediated and 72 hour narcotic use will be significantly impacted by the use of this modality.
Patients will receive a single shot popliteal block (standard of care) and then undergo their standardized procedure. Patients will then receive 20cc Exparel and 10cc of normal saline at the conclusion of the case.
Inclusion Criteria: Any patient scheduled for ankle arthrodesis, a tibiotalocalcaneal arthrodesis, hindfoot arthrodesis including subtalar, double, triple, or isolated talonavicular arthrodesis Patients over the age of 18 The subject is psychosocially, mentally, and physically able to understand and comply with the requirements of the study Exclusion Criteria: < 18 years of age Patients with a history of infection Patients diagnosed with neuropathy or any form of numbness or loss of feeling in the arms or legs due to damaged nerves Patients having surgery on both feet at the same time Patients having any other different type of foot and ankle surgery
| Event Type | Organ System | Event Term | Overall |
|---|
Total morphine milligram equivalence dosing of all narcotic pain medications administered between the surgery and the third post-operative day.
Visual Analog Scale (VAS) of pain (0-10); with 10 indicating the greatest amount of pain. Post anesthesia care unit admission, post anesthesia care unit discharge, day of surgery, post operative day 1, post operative day 2, post operative day 3
Anti-emetic use (as a binary yes/no) between the admission in the post anesthesia care unit through hospital discharge (i.e. if a patient took an anti-emetic at any point duration the time frame the patient was a yes; if the patient did not take an anti-emetic during the time frame the patient was a no).
Measured at hospital discharge (on post operative day 3). Measured on a scale of 1-5, with 5 being the most satisfaction
Any complications occurring between the day of surgery and the first scheduled appointment at our clinic after the surgery.
