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Local Infiltration With Bupivacaine to Increase Quality of Post-operative Pain Control in Total Knee Replacement

Phase 4
Completed
Conditions
Pain, Postoperative
Arthropathy of Knee Joint
Interventions
Drug: 0.9% normal saline
Registration Number
NCT01364194
Lead Sponsor
Mahidol University
Brief Summary

The purpose of this study is to evaluate the efficacy of periarticular injection with 0.25% bupivacaine for controlling pain after total knee replacement to improve the quality of post-operative care.

Detailed Description

Compare post operative pain control after total knee replacement by periarticular injection with 0.25% bupivacaine compare with 0.9% normal saline.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
60
Inclusion Criteria
  • primary osteoarthritis patients undergoing total knee replacement at Siriraj Hospital
  • BMI between 20-35
  • having a full understanding of the question in this trial
Exclusion Criteria
  • allergy to NSAIDs, Acetaminophen, Bupivacaine
  • blood creatinine more than 1.5 mg/dl or creatinine clearance less than 60 mL/min
  • abnormal liver function
  • previous surgery on the knee undergoing total knee replacement
  • patient could not receive spinal anesthesia

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
0.25% Bupivacaine0.25% BupivacainePeriarticular injection with 20 ml of 0.25% bupivacaine before wound closure.
0.9% normal saline0.9% normal salinePeriarticular injection with 20 ml of 0.9% normal saline before wound closure.
Primary Outcome Measures
NameTimeMethod
Post operative pain96 hour post operation

Measure by Visual analog scale scores and morphine consumption

Secondary Outcome Measures
NameTimeMethod
Complication of Morphine consumption96 hour post operation

nausea, pruritis, urinary retention and constipation

Trial Locations

Locations (1)

Siriraj Hospital

🇹🇭

Bangkoknoi, Bangkok, Thailand

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