NCT02465827

Brief Summary

The investigators aimed to evaluate the efficacy of selective low volume ultrasound-guided blockades of the saphenous and obturator nerves on dynamic and rest pain 24-hours post-operatively for patients undergoing unilateral primary total knee arthroplasty.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
75

participants targeted

Target at P25-P50 for phase_4

Timeline
Completed

Started Jan 2014

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2014

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2015

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

June 2, 2015

Completed
7 days until next milestone

First Posted

Study publicly available on registry

June 9, 2015

Completed
Last Updated

June 9, 2015

Status Verified

June 1, 2015

Enrollment Period

1.2 years

First QC Date

June 2, 2015

Last Update Submit

June 4, 2015

Conditions

Outcome Measures

Primary Outcomes (1)

  • Dynamic pain (pain upon movement) quantified as area-under-the-curve (AUC) 24-hours post-operatively

    NRS 0-10

    24 hours

Secondary Outcomes (6)

  • Pain at rest quantified as area-under-the-curve (AUC) 24-hours post-operatively

    24 hours

  • Total opioid consumption

    24 hours

  • Nausea and vomiting

    24 hours

  • Time to first mobilization

    24 hours

  • Length of stay in recovery and hospital

    72 hours

  • +1 more secondary outcomes

Study Arms (3)

Saphenous and obturator nerve block

ACTIVE COMPARATOR

5 ml of ropivacaine 0.75% for the saphenous nerve and 10 ml of ropivacaine 0,75% for the obturator nerve block. Ropivacaine 0.75% for nerve blockades for both nerves mentioned.

Drug: nerve block with ropivacaine

Saphenous nerve block

ACTIVE COMPARATOR

5 ml of ropivacaine 0.75% for the saphenous nerve and 10 ml of isotonic saline for the obturator nerve block. Ropivacaine 0.75% for the saphenous nerve block and saline for the obturator nerve block

Drug: nerve block with ropivacaine and with saline

Placebo nerve block

PLACEBO COMPARATOR

5 ml of isotonic saline for the saphenous nerve and 10 ml of isotonic saline for the obturator nerve block. Saline for nerve blockades for both nerves mentioned.

Drug: nerve block with saline

Interventions

Ultrasound guided nerve blocks of the saphenous and obturator nerve, posterior branch with ropivacaine 0.75% for both nerve branches

Also known as: Saphenous and obturator nerve block with ropivacaine
Saphenous and obturator nerve block

nerve blocks of the saphenous nerve with ropivacaine 0.75% and obturator nerve, posterior branch with saline

Also known as: Saph block with ropivacaine and obtur block with saline
Saphenous nerve block

Ultrasound guided nerve blocks of the saphenous and obturator nerve, posterior branch with saline for both nerve branches

Also known as: saphenous and obturator nerve block with saline
Placebo nerve block

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • American Society of Anesthesiologists' physical classification I-III
  • Age ≥ 18 years undergoing primary unilateral total knee arthroplasty

You may not qualify if:

  • Inability to cooperate
  • Inability to speak and understand Danish
  • Allergy to any drugs used in the study
  • Drug or alcohol abuse
  • Pregnancy or nursing
  • Opioid abusers

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Interventions

Nerve BlockRopivacaineSodium Chloride

Intervention Hierarchy (Ancestors)

Anesthesia, ConductionAnesthesiaAnesthesia and AnalgesiaDenervationNeurosurgical ProceduresSurgical Procedures, OperativeAnilidesAmidesOrganic ChemicalsAniline CompoundsAminesChloridesHydrochloric AcidChlorine CompoundsInorganic ChemicalsSodium Compounds

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Ass professor, PhD

Study Record Dates

First Submitted

June 2, 2015

First Posted

June 9, 2015

Study Start

January 1, 2014

Primary Completion

March 1, 2015

Study Completion

March 1, 2015

Last Updated

June 9, 2015

Record last verified: 2015-06