Intrathecal Diamorphine Versus Femoral Nerve Block in Primary Total Knee Arthroplasty
NCT01931332 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 120
Last updated 2013-08-29
Summary
Primary total knee arthroplasty (TKA) is commonly associated with moderate to severe early post-operative pain. The primary aim of this study was to investigate the impact of either a single-shot femoral nerve block (FNB) or intrathecal diamorphine (ID) on post-operative pain after TKA
The Null Hypothesis is that there is no difference in the post operative pain relief provided for TKA by a single-shot femoral nerve block (FNB) as compared to intrathecal diamorphine (ID).
Conditions
Interventions
- PROCEDURE
-
Femoral Nerve Block with levobupivicaine
A single injection femoral nerve block (FNB) performed in the supine position with a 50mm insulated needle (NanoLine, Pajunk, Geisingen, Germany) and peripheral nerve stimulator set at 1Hz with pulse width 0.1ms. Once a quadriceps muscle twitch is identified at a stimulated current between 0.2 and 0.5mA, 20mls of 0.375% levobupivacaine (75mg) is injected in fractionated amounts after negative aspiration
- PROCEDURE
-
Intrathecal injection of diamorphine
500mcg of intrathecal diamorphine (ID) (dissolved in 0.5mls normal saline)
Sponsors & Collaborators
-
Royal Devon and Exeter NHS Foundation Trust
lead OTHER
Principal Investigators
-
Matthew Grayling, MBBS · Royal Devon and Exeter Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 16 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2010-02-28
- Primary Completion
- 2012-05-31
- Completion
- 2012-07-31
Countries
- United Kingdom
Study Locations
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