Intravenous Dexamethasone (0 vs 4 vs 8 mg) as an Adjunct to PENG Block for Postoperative Analgesia in Total Hip Arthroplasty: A Randomized Double-Blind Trial
NCT07581470 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 198
Last updated 2026-05-12
Summary
his study will test whether giving dexamethasone through a vein can improve pain control after total hip replacement surgery. Dexamethasone is commonly used to reduce nausea and may also help with pain, but it is not clear which dose works best. Patients will be randomly assigned to receive either no dexamethasone, 4 mg, or 8 mg, in addition to standard anesthesia and a nerve block (PENG block). The main goal is to see how long patients go without needing additional pain medication after surgery. The study will also look at pain levels, use of opioid painkillers, nausea and vomiting, blood sugar levels, and possible side effects.
Conditions
- Osteoarthritis, Hip
- Hip Osteoarthritis
Interventions
- DRUG
-
Dexamethasone 4mg
Intravenous dexamethasone administered as a single dose after induction of anesthesia, at doses of 4 mg
- DRUG
-
Intravenous administration of 0.9% sodium chloride in a volume identical to active treatment, given after induction of anesthesia.
- DRUG
-
Dexamethasone 8mg
Intravenous dexamethasone administered as a single dose after induction of anesthesia, at doses of 8 mg
Sponsors & Collaborators
-
Poznan University of Medical Sciences
lead OTHER
Principal Investigators
-
Justyna Marszałek-Buko, MD · Poznan University of Medical Sciences
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 100 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-07-01
- Primary Completion
- 2027-06-30
- Completion
- 2027-07-31
Countries
- Poland
Study Locations
More Related Trials
-
The Effect of Dexamethasone on Pain After Total Knee Replacement Surgery
NCT03034733 ·Status: TERMINATED ·Phase: PHASE4
-
Dexamethasone vs Dexmedetomidine for iPACK + ACB in TKA
NCT07386600 ·Status: RECRUITING ·Phase: NA
-
High-Dose Steroid for Knee Arthroplasty Patients Expected to Have Postoperative Pain
NCT03763734 ·Status: COMPLETED ·Phase: PHASE4
-
Effects of Perioperative Intravenous Dexamethasone on the Severity of Persistent Postsurgical Pain After Total Knee Arthroplasty : A Prospective, Randomized, Double-blind, Placebo-controlled Trial
NCT02760459 ·Status: UNKNOWN ·Phase: PHASE4
-
Dexamethasone vs. Dexmedetomidine for ESPB in Pain Management After Knee Arthroplasty
NCT06470100 ·Status: COMPLETED ·Phase: PHASE4
-
Oral vs Intravenous Dexamethasone in Total Knee Arthroplasty
NCT07442812 ·Status: RECRUITING
-
Dexamethasone Versus Dexmedetomidine in IPACK Block to Reduce Pain Post Arthroscopic Knee Surgeries
NCT07024043 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1/PHASE2
-
Dexamethasone for iPACK Block With ACB in Total Knee Arthroplasty
NCT06470204 ·Status: COMPLETED ·Phase: PHASE4
-
The Effect of Adding Dexamethasone to Epidural Bupivacaine for Total Knee Replacement Surgery
NCT03231215 ·Status: COMPLETED ·Phase: NA
-
The Effect of a Methylprednisolone Taper on Outcomes Following Total Knee Arthroplasty
NCT06489626 ·Status: WITHDRAWN ·Phase: PHASE4
-
Dexamethasone Twice for Pain Treatment of Total Knee Arthroplasty
NCT03506789 ·Status: COMPLETED ·Phase: PHASE4
-
Dexamethasone and Pain Following Total Knee Arthroplasty
NCT02271698 ·Status: COMPLETED ·Phase: PHASE4
-
Dexamethasone in Total Knee Arthroplasty
NCT05018091 ·Status: COMPLETED ·Phase: PHASE4
-
Impact of Dexamethasone Route on Pain and Inflammation in iPACK With ACB for Knee Arthroplasty
NCT07180953 ·Status: COMPLETED ·Phase: PHASE4
-
Efficacy of Preoperative Intravenous Dexamethasone in Primary Total Knee Arthroplasty
NCT02102815 ·Status: COMPLETED ·Phase: PHASE4
-
Dexamethasone in Pain Control After Total Knee Replacement
NCT02767882 ·Status: COMPLETED ·Phase: PHASE4
-
Comparing Single Dose and Multiple Dose of Dexamethasone Post TKA
NCT06339151 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Effect of Dexamethasone as Analgesic Treatment After Total Knee Arthroplasty
NCT05008367 ·Status: COMPLETED ·Phase: PHASE4
-
Dexamethasone for Pain After Shoulder Surgery
NCT01414569 ·Status: COMPLETED ·Phase: PHASE4
-
Effects of Perioperative Intravenous Dexamethasone in Clinical Outcomes After Total Knee Arthroplasty in a Hispanic Population
NCT06042426 ·Status: UNKNOWN ·Phase: PHASE4
-
Intraarticular Opioids Vs Glucocorticosteroids in Gonarthritis
NCT00244153 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
iPACK Block With Dexamethasone For Total Knee Replacement
NCT04917055 ·Status: TERMINATED ·Phase: PHASE4
-
Efficacy and Safety of IV Diclofenac (DIV075V)for Pain After Elective Orthopedic Surgery
NCT00507026 ·Status: COMPLETED ·Phase: PHASE3
-
Large Doses of Methylprednisolone Combined With Gabapentin in Total Knee Arthroplasty
NCT04653415 ·Status: COMPLETED ·Phase: PHASE4
-
Effect of Preoperative Steroid in Total Knee Arthroplasty
NCT04084912 ·Status: UNKNOWN ·Phase: PHASE3