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Local Anesthetic in Total Knee Arthroplasty (TKA): Volume Versus Concentration

Phase 4
Completed
Conditions
Postoperative Pain
Analgesic Efficacy
Interventions
Drug: 20 mL ropivacaine 5 mg/mL
Drug: 10 mL ropivacaine 10 mg/mL
Registration Number
NCT01012232
Lead Sponsor
Lundbeck Foundation
Brief Summary

In a randomized, double-blind, cross-over trial, 48 patients scheduled for total knee arthroplasty with placement of an intracapsular catheter will be randomized to receive bolus injection of ropivacaine in high volume/low concentration (20 ml, 5 mg/mL) or low volume/high concentration (10 mL, 10 mg/mL) 6 and 24 hours postoperatively, and pain will be assessed at rest and with mobilization for 2 hours after injections.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
48
Inclusion Criteria
  • Scheduled for total knee arthroplasty
  • Able to give informed oral and written consent to participate
Exclusion Criteria
  • Treatment with opioids or steroids, rheumatoid arthritis or other immunological diseases
  • History of stroke or any neurological or psychiatric disease potentially influencing pain perception (e.g. depression, diabetic neuropathy etc.)
  • Allergies to any of the drugs administered.

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
high volume local anesthetic20 mL ropivacaine 5 mg/mLbolus injection of ropivacaine in high volume/low concentration (20 ml, 5 mg/mL)
low volume local anesthetic10 mL ropivacaine 10 mg/mLbolus injection of local anesthetic in low volume/high concentration (10 mL, 10 mg/mL)
Primary Outcome Measures
NameTimeMethod
postoperative pain32 hours postoperative
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Lundbeck Centre for fast-track hip and knee arthroplasty

🇩🇰

Copenhagen, Denmark

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