Spinals in THA (Total Hip Arthroplasty)

• Status: Recruiting
• Trial end date: 2021-08-01
• Target enrollment: 0
• Participant gender: All

Summary

Spinal anesthesia is commonly used in patients undergoing total hip replacements. The purpose of this study is to compare lidocaine to bupivacaine spinal anesthesia in patients having a total hip arthroplasty (THA). The objective of this study is to compare the two spinal anesthesia treatments in regards to transient neurological symptoms (TNS).

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Emory University
• Treatments: Anesthetics; Bupivacaine; Lidocaine

Criteria

Inclusion Criteria:

• Radiographic evidence of symptomatic osteoarthritis in one or bilateral hips. Osteoarthritis will be defined as pain with weight-bearing at the hip articulation together with radiographic findings

• Indicated for total hip arthroplasty

• Agreement to undergo spinal anesthesia for surgery

Exclusion Criteria:

• Patient refusal to undergo spinal anesthesia

• Patients with a known history of lumbar or sacral spinal fusion.

• Patients with a known history of prostate, urological, or kidney surgery.

• Patients who need monitoring of urine output during surgery (including patients with confirmed renal disease, renal failure, chronic renal insufficiency, or an indwelling catheter at the time of surgery).

• Current infection at site of injection

• Women of child-bearing potential who are on Medicare (child-bearing potential will be determined prior to surgery per Anesthesia standard of care)

• Hypovolemia

• Indeterminate neurologic disease

• Allergy or hypersensitivity to the study medications

• Currently taking any anti-coagulation medications or coagulopathic

• Increased intracranial pressure

• Subject is unable to make his/her own decision regarding the informed consent

• Subject is unable to read/understand English