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Combination of Continuous Femoral Block and Intravenous Parecoxib For Postoperative Analgesia After Total Knee Arthroplasty

Phase 2
Completed
Conditions
POSTOPERATIVE ANALGESIA FOR TKA PARECOXIB/CFB
Interventions
Drug: CONTINUOUS FEMORAL BLOCK WITH ROPIVACAINE 0,2%
Drug: N/S 0.9%
Registration Number
NCT02185924
Lead Sponsor
Asklepieion Voulas General Hospital
Brief Summary

Combination of continuous femoral block with parEcoxib vs placebo. Investigation of morphine consumption, opioid sparing effects, VAS pain scores, haemodynamics, Anxierty scores, transfusion requirements , Range of motion and rehabilitation parameters between two groups

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
90
Inclusion Criteria
  • PATIENTS ASA I-II UNDERGOING TOTAL KNEE ATRTHROPLASTY
Exclusion Criteria

Exclusion criteria for both groups included:

  • Age younger than 40 years old or older than 80 years old
  • ASA > III
  • Obesity (>140 kg body weight)
  • Allergy to local anesthetics
  • History dependence on opioids
  • Contraindications for subarachnoid anesthesia or femoral block (coagulopathy, local infection, pre-existing neurological problems, patient refusal)
  • Contraindications to the administration of parecoxib
  • Severe hepatic or renal disease (serum creatinine ≥ 1.7 mg/dl)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
CONTINUOUS FEMORAL BLOCK AND PLACEBON/S 0.9%Continuous infusion of 0.2% ropivacaine at 10 ml/h and 2 mls of iv N/S0.9%
CONTINUOUS FEMORAL BLOCK AND PLACEBOCONTINUOUS FEMORAL BLOCK WITH ROPIVACAINE 0,2%Continuous infusion of 0.2% ropivacaine at 10 ml/h and 2 mls of iv N/S0.9%
CONTINUOUS FEMORAL BLOCK AND PARECOXIBCONTINUOUS FEMORAL BLOCK WITH ROPIVACAINE 0,2%Continuous infusion of0,2% of ropivacaine at 10 ml/h and 2 mls (40 mg) of iv parecoxib
CONTINUOUS FEMORAL BLOCK AND PARECOXIBParecoxibContinuous infusion of0,2% of ropivacaine at 10 ml/h and 2 mls (40 mg) of iv parecoxib
Primary Outcome Measures
NameTimeMethod
MORPHINE CONSUMPTION WITH PCA BETWEEN TWO GROUPS36/h POSTOPERATIVELY
VAS PAIN SCORES BETWEEN TWO GROUPS36/h POSTOPERATIVELY
HAEMODYNAMIC PARAMETERS BETWEEN TWO GROUPSDuring perioperative period
Secondary Outcome Measures
NameTimeMethod
ANXIETY LEVELS36 HOURS POSTOPERATIVELY

ANXIETY SCORES WERE QUANTIFIED USING THE SPIELBERG INVENTORY

Trial Locations

Locations (1)

Department of Anaesthesia Asklepeion Voulas General Hospital

🇬🇷

Voula Athens, Greece

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