Postoperative subQ Pain Control for Spinal Fusion Surgery
| Status: | Recruiting |
|---|---|
| Conditions: | Post-Surgical Pain |
| Therapuetic Areas: | Musculoskeletal |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/17/2018 |
| Start Date: | February 9, 2018 |
| End Date: | August 9, 2019 |
| Contact: | Christina M Walter, MS |
| Email: | chrismw@surgery.arizona.edu |
| Phone: | 5206267322 |
Post-operative pain following lumbar spine fusion is frequently difficult to manage and can
lead to increased doses of opiate pain medications to control pain. In this study, the use of
subcutaneous local anesthesia will be studied to determine its efficacy at reducing
post-operative pain following spinal fusion surgery.
lead to increased doses of opiate pain medications to control pain. In this study, the use of
subcutaneous local anesthesia will be studied to determine its efficacy at reducing
post-operative pain following spinal fusion surgery.
For patients randomized to the experimental or to the placebo groups, two subcutaneous
catheters will be tunneled under the skin with large hollow-bore needles along the entire
length of the incision on either side prior to closure. These catheters will deliver study
drug (0.25% Marcaine) directly into the incision. They will be affixed to the skin with
steri-strips. The catheters will then be attached to a drug delivery pump at 2mL/hour and
will be removed prior to discharge.
catheters will be tunneled under the skin with large hollow-bore needles along the entire
length of the incision on either side prior to closure. These catheters will deliver study
drug (0.25% Marcaine) directly into the incision. They will be affixed to the skin with
steri-strips. The catheters will then be attached to a drug delivery pump at 2mL/hour and
will be removed prior to discharge.
Inclusion Criteria:
- Patient 18 years of age or greater
- Surgery to be done at Banner University Medical Center-Tucson
- Elective Surgeries only
- Lower Thoracic or Lumbar fusions only - Posterior Approach
- Postero or Posterolateral Instrumented Fusions with or without Interbody graft
- Transforaminal Interbody Fusions
- Must be able to cooperate in the daily VAS assessment
Exclusion Criteria:
- Patients under 18 years of age
- Prisoners
- Pregnant women
- Hypersensitivity to infusion medication
- Deformity Correction cases requiring osteotomies
- Surgical fusion in acute phase for traumatic injury
- Anterior Lumbar Interbody Fusion, Direct Lateral Interbody Fusion procedures
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