MedPath

The Efficacy of Adductor-Canal-Blockade on Pain and Morphine Consumption After Total Knee Arthroplasty

Phase 4
Completed
Conditions
Postoperative Pain
Knee Arthroplasty
Interventions
Procedure: Adductor-Canal-Blockade with Ropivacaine
Procedure: Adductor-Canal-blockade with saline
Registration Number
NCT01261897
Lead Sponsor
Rigshospitalet, Denmark
Brief Summary

The objective of this study is to assess the efficacy of Adductor-Canal-Blockade on pain and morphine consumption after total knee arthroplasty. Our hypothesis is that the Adductor -Canal-Blockade is superior to placebo in reducing pain and morphine consumption after total knee arthroplasty.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Total Knee Arthroplasty in general anaesthesia
  • ASA 1-3
  • BMI 18-40
  • Written informed consent
Exclusion Criteria
  • Can not cooperate to the exam
  • Do not speak or understand Danish
  • Drug allergy
  • Alcohol or drug abuse
  • Daily consumption of strong opioids

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Adductor-Canal-Blockade with RopivacaineAdductor-Canal-Blockade with Ropivacaine-
Adductor-Canal-blockade with salineAdductor-Canal-blockade with saline-
Primary Outcome Measures
NameTimeMethod
Pain during 45 degrees active flexion of the knee1 hour postoperative

0-100 mm at a visual analogue scale (VAS), at 1 hour postoperative

Secondary Outcome Measures
NameTimeMethod
Pain during 45 degrees active flexion of the knee0-6 hours postoperative

0-100 mm at a visual analogue scale (VAS), registered at the intervals 1, 2, 3, 4, 5 and 6 hours postoperative, calculated as "the area under the curve" (AUC) for the interval 1-6 hours postoperative.

Pain during rest1-6 hours postoperative

0-100 mm at a visual analogue scale (VAS), registered at the intervals 1, 2, 3, 4, 5 and 6 hours postoperative, calculated as "the area under the curve" (AUC) for the interval 1-6 hours postoperative.

A change in pain score in the ropivacaine group, after activating the block30-60 minutes postoperative

0-100 mm at a visual analogue scale (VAS), at 30 and 60 minutes postoperative. A change in pain score in the ropivacaine group compared to the placebo group, after activating the block.

Total morphine consumption30 minutes - 6 hours postoperative

Total morphine consumption at the interval 30 minutes - 6 hours postoperative.

Postoperative nausea1-6 hours postoperative

Nausea scores(0-3)registered at 1, 2, 3, 4, 5 and 6 hours postoperative, calculated as mean value for the interval 1-6 hours postoperative.

Postoperative vomiting1-6 hours postoperative

Number of vomiting episodes at the interval 1-6 hours postoperative.

Zofran consumption1-6 hours postoperative

Total zofran consumption at the intervals 1-6 hours postoperative.

Sedation1-6 hours postoperative

Sedation score (0-3) registered at 1, 2, 3, 4, 5 and 6 hours postoperative, calculated as the mean value for the interval 1-6 hours postoperative.

Trial Locations

Locations (1)

Department of Anaesthesia-Surgery-Intensive Care, Gentofte Hospital

🇩🇰

Gentofte, Hellerup, Denmark

© Copyright 2025. All Rights Reserved by MedPath