Comparing general and spinal anesthesia for joint replacement surgery

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to compare the post-operative outcomes of patients undergoing total joint arthroplasty (TJA) using either general or spinal anesthesia. The research will evaluate various outcomes, including length of hospital stay, post-operative pain levels, incidence of nausea, and rates of surgical site infections, among others. By analyzing these factors, the study seeks to determine which anesthesia method may lead to better recovery experiences for patients undergoing hip or knee replacements.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Patients undergoing a primary total hip or knee arthroplasty
* Subjects must be capable of providing informed consent
* English or Spanish speaking

Exclusion Criteria:

Patients with contraindications for spinal anesthesia such as:

* Prior lumbar surgery with hardware insertion
* Elevated intracranial pressure
* Infection at the site of the procedure
* Thrombocytopenia or coagulopathy
* Severe mitral and aortic stenosis and left ventricular outflow obstruction
* Severe spine pathology (spinal stenosis, spondylolisthesis, spondylosis) with radiculopathy and/or neurogenic claudication
* Preexisting neurological disease

Patients with contraindications for general anesthesia such as:

* Congestive heart failure
* Severe aortic stenosis
* Patient is unable/unwilling to consent
* Current pregnancy or women planning on becoming pregnant in the next year, and women who think they might be pregnant, or women who become pregnant during the study period will be removed from the study.
* Prisoners

Where it's running

• University of Miami
  Miami, Florida, United States Recruiting

Study contacts

• Principal investigator: Victor H Hernandez, MD — University of Miami
• Study coordinator: Victor H Hernandez, MD
• Email: vhh1@med.miami.edu
• Phone: 305-689-5195

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.