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NCT04458467

Perineural Local Anesthetic Administration With a Continuous Infusion Versus Automatic Intermittent Boluses

Completed NA Results posted Last updated 30 June 2022
What this trial tests

NA trial testing Continuous Infusion in Pain, Acute in 71 participants. Completed in 16 March 2021.

Timeline
15 July 2020
Primary endpoint
12 March 2021
16 March 2021

Quick facts

Lead sponsorUniversity of California, San Diego
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment71
Start date15 July 2020
Primary completion12 March 2021
Estimated completion16 March 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of California, San Diego

Who can join

18 and older, any sex, with Pain, Acute or Anesthesia, Local. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Average Pain Queried on First Postoperative Day Primary · postoperative day 1

Rated 0-10 on numeric rating scale the average pain from the recovery room until the data collection call. "0" represents no pain and "10" represents worst imaginable pain. Thus, a lower pain score corresponds to less pain.

GroupValue95% CI
Continuous Infusion31.8 – 4.8
Automated Boluses0.00 – 3.0
Duration of Infusion Primary · 6 days postoperatively

Number of hours from the time the pump is initiated until local anesthetic reservoir exhaustion

GroupValue95% CI
Continuous Infusion7457 – 80
Automated Boluses119109 – 125
Worst Pain Secondary · Each of 6 days postoperatively

Rated 0-10 on numeric rating scale. "0" represents no pain and "10" represents worst imaginable pain. Thus, a lower pain score corresponds to less pain.

Day 1
GroupValue95% CI
Continuous Infusion5.3± 3.4
Automated Boluses3.3± 3.7
Day 2
GroupValue95% CI
Continuous Infusion6.9± 2.4
Automated Boluses4.6± 3.2
Day 3
GroupValue95% CI
Continuous Infusion4.9± 2.7
Automated Boluses3.6± 3.0
Day 4
GroupValue95% CI
Continuous Infusion6.1± 2.6
Automated Boluses3.0± 3.1
Day 5
GroupValue95% CI
Continuous Infusion5.1± 2.8
Automated Boluses3.3± 3.2
Day 6
GroupValue95% CI
Continuous Infusion4.3± 3.2
Automated Boluses3.7± 3.0
Average Pain Secondary · Each of 6 days postoperatively

Rated 0-10 on numeric rating scale. "0" represents no pain and "10" represents worst imaginable pain. Thus, a lower pain score corresponds to less pain.

Day 1
GroupValue95% CI
Continuous Infusion3.0± 2.4
Automated Boluses1.6± 2.0
Day 2
GroupValue95% CI
Continuous Infusion4.1± 2.0
Automated Boluses2.0± 1.8
Day 3
GroupValue95% CI
Continuous Infusion3.0± 2.0
Automated Boluses1.6± 1.6
Day 4
GroupValue95% CI
Continuous Infusion4.0± 2.0
Automated Boluses1.5± 1.8
Day 5
GroupValue95% CI
Continuous Infusion3.1± 1.7
Automated Boluses1.7± 1.8
Day 6
GroupValue95% CI
Continuous Infusion2.4± 2.0
Automated Boluses1.8± 1.7
Least Pain Secondary · Each of 6 days postoperatively

Rated 0-10 on numeric rating scale. "0" represents no pain and "10" represents worst imaginable pain. Thus, a lower pain score corresponds to less pain.

Day 1
GroupValue95% CI
Continuous Infusion0.2± 0.8
Automated Boluses0.1± 0.5
Day 2
GroupValue95% CI
Continuous Infusion1.1± 1.5
Automated Boluses0.7± 1.2
Day 3
GroupValue95% CI
Continuous Infusion1.0± 1.7
Automated Boluses0.4± 0.7
Day 4
GroupValue95% CI
Continuous Infusion1.8± 1.8
Automated Boluses0.5± 1.1
Day 5
GroupValue95% CI
Continuous Infusion1.4± 1.5
Automated Boluses0.7± 1.3
Day 6
GroupValue95% CI
Continuous Infusion1.2± 1.5
Automated Boluses0.8± 1.4
Current Pain Secondary · Each of 6 days postoperatively

Rated 0-10 on numeric rating scale. "0" represents no pain and "10" represents worst imaginable pain. Thus, a lower pain score corresponds to less pain.

Day 1
GroupValue95% CI
Continuous Infusion2.8± 2.8
Automated Boluses1.7± 2.5
Day 2
GroupValue95% CI
Continuous Infusion2.4± 2.3
Automated Boluses1.6± 2.0
Day 3
GroupValue95% CI
Continuous Infusion1.9± 2.0
Automated Boluses1.2± 1.4
Day 4
GroupValue95% CI
Continuous Infusion2.9± 2.2
Automated Boluses1.4± 2.0
Day 5
GroupValue95% CI
Continuous Infusion2.0± 1.9
Automated Boluses1.9± 2.3
Day 6
GroupValue95% CI
Continuous Infusion2.1± 2.1
Automated Boluses1.9± 2.1
Opioid Consumption Secondary · Each of 6 days postoperatively

Cumulative opioid consumption during the first 6 days postoperatively

Day 1
GroupValue95% CI
Continuous Infusion1.4± 1.6
Automated Boluses0.7± 1.2
Day 2
GroupValue95% CI
Continuous Infusion2.0± 1.9
Automated Boluses0.9± 1.3
Day 3
GroupValue95% CI
Continuous Infusion1.7± 1.7
Automated Boluses0.7± 1.4
Day 4
GroupValue95% CI
Continuous Infusion2.3± 1.9
Automated Boluses0.5± 1.3
Day 5
GroupValue95% CI
Continuous Infusion1.3± 1.5
Automated Boluses0.5± 1.2
Day 6
GroupValue95% CI
Continuous Infusion0.8± 1.7
Automated Boluses0.5± 1.2
Sleep Disturbances Due to Pain Secondary · Each of 6 nights postoperatively

Number of awakenings due to pain during the first 6 nights postoperatively

Day 1
GroupValue95% CI
Continuous Infusion1.0± 1.2
Automated Boluses0.4± 0.7
Day 2
GroupValue95% CI
Continuous Infusion1.5± 1.6
Automated Boluses0.5± 1.0
Day 3
GroupValue95% CI
Continuous Infusion0.8± 1.5
Automated Boluses0.2± 0.5
Day 4
GroupValue95% CI
Continuous Infusion1.5± 1.6
Automated Boluses0.2± 0.5
Day 5
GroupValue95% CI
Continuous Infusion1.1± 1.8
Automated Boluses0.3± 0.8
Day 6
GroupValue95% CI
Continuous Infusion0.8± 1.5
Automated Boluses0.4± 0.5
Numbness in Foot and Ankle Secondary · Each of 6 days postoperatively

Rate 0 = normal to 10 = insensate

Day 1
GroupValue95% CI
Continuous Infusion7.5± 2.8
Automated Boluses8.9± 1.8
Day 2
GroupValue95% CI
Continuous Infusion5.1± 3.4
Automated Boluses7.9± 1.8
Day 3
GroupValue95% CI
Continuous Infusion4.5± 3.7
Automated Boluses7.4± 2.4
Day 4
GroupValue95% CI
Continuous Infusion0.6± 1.8
Automated Boluses7.2± 2.8
Day 5
GroupValue95% CI
Continuous Infusion0± 0
Automated Boluses5.4± 3.6
Day 6
GroupValue95% CI
Continuous Infusion0.0± 0.0
Automated Boluses1.5± 3.2

Sponsor's own description

This will be a randomized comparison of continuous local anesthetic infusion with patient controlled boluses (PCA) to automated boluses with PCA for continuous popliteal sciatic nerve blocks. The goal will be to determine the relationship between method of local anesthetic administration (continuous with PCA initiated at discharge vs. intermittent dosing with PCA with a 5-hour delay) for continuous peripheral nerve block and the resulting pain control and duration of analgesia.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

Verify or expand the search:

Other trials of Continuous Infusion

Trials testing the same drug.

Other recruiting trials for Pain, Acute

Currently open trials in the same condition.

Other University of California, San Diego trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing