Ultrasound-guided Blocks for Ambulatory Knee Arthroscopy

NCT ID: NCT01837394

Last Updated: 2013-11-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-08-31

Study Completion Date

2013-09-30

Brief Summary

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In this study, we wish to investigate the effect of ultrasound (US) -guided block of the saphenous nerve (SN) and the posterior branch of the obturator nerve (ONP) on postoperative pain and the use of opioids (morphine-like pain medicine) in the first 24 hours following ambulatory knee arthroscopy.

We wish to investigate the analgesic effect of these two blocks compared to placebo (injection of local anesthetic with known pain blocking properties compared with injection of a saline solution), when used as a supplement to conventional oral analgesics.

We hypothesize that patients receiving the active treatment may experience less pain during the first 24 hours after their operation than patients receiving the placebo treatment, and possibly require less opioid analgesics, experience less opioid related side effects and have a higher function level in this period than patients receiving the placebo treatment.

Detailed Description

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Conditions

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Postoperative Pain Postoperative Nausea and Vomiting Postoperative Function Level

Keywords

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Nerve block Ultrasound postoperative pain Saphenous nerve Obturator nerve

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Block arm

Ultrasound guided block of the SN and ONP with 7.5 ml of Ropivacaine 7.5 mg/ml injected at each site, respectively, immediately prior to induction of general anesthesia. Standard postoperative analgesia with paracetamol 1 g every 6 hours and Morphine 5 mg as needed. Ondansetron or Metoclopramide as needed for nausea.

Group Type ACTIVE_COMPARATOR

Block of the SN and ONP

Intervention Type PROCEDURE

7.5 ml of Ropivacaine 7.5 mg/ml injected at each site

Paracetamol

Intervention Type DRUG

Morphine

Intervention Type DRUG

5 mg as needed

Ondansetron

Intervention Type DRUG

4 mg i.v. as needed in the PACU

Metoclopramide

Intervention Type DRUG

10 mg tablet as needed in the postoperative period after discharge from the PACU

Placebo arm

Ultrasound guided placebo block of the SN and ONP with 7.5 ml of isotonic saline solution injected at each site, respectively, immediately prior to induction of general anesthesia. Standard postoperative analgesia with paracetamol 1 g every 6 hours and Morphine 5 mg as needed. Ondansetron or Metoclopramide as needed for nausea.

Group Type PLACEBO_COMPARATOR

Placebo block

Intervention Type PROCEDURE

7.5 ml of isotonic saline solution 154 mmol/l injected at each site

Paracetamol

Intervention Type DRUG

Morphine

Intervention Type DRUG

5 mg as needed

Ondansetron

Intervention Type DRUG

4 mg i.v. as needed in the PACU

Metoclopramide

Intervention Type DRUG

10 mg tablet as needed in the postoperative period after discharge from the PACU

Interventions

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Block of the SN and ONP

7.5 ml of Ropivacaine 7.5 mg/ml injected at each site

Intervention Type PROCEDURE

Placebo block

7.5 ml of isotonic saline solution 154 mmol/l injected at each site

Intervention Type PROCEDURE

Paracetamol

Intervention Type DRUG

Morphine

5 mg as needed

Intervention Type DRUG

Ondansetron

4 mg i.v. as needed in the PACU

Intervention Type DRUG

Metoclopramide

10 mg tablet as needed in the postoperative period after discharge from the PACU

Intervention Type DRUG

Other Intervention Names

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Naropin NaCl Acetaminophen Zofran Emperal Primperan

Eligibility Criteria

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Inclusion Criteria

* Planned ambulatory knee arthroscopy, except cruciate ligament surgery
* American Society of Anesthesiologists (ASA) class 1-3

Exclusion Criteria

* Cannot cooperate
* Do not speak or understand Danish
* Daily use of opioid analgesics
* Allergy towards any of the drugs used in the investigation
* Medicine abuse (at the investigators discretion)
* Alcohol abuse, as defined by the National Board of Health
* General anesthesia contraindicated, or the patient wants spinal anesthesia
* Visualization of necessary structures by ultrasound not possible, or block not possible for other technical reasons
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Jens Borglum Neimann

OTHER

Sponsor Role lead

Responsible Party

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Jens Borglum Neimann

MD, PhD, MBA

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Bo Westergaard, MD

Role: PRINCIPAL_INVESTIGATOR

Department of Anesthesiology, Bispebjerg Hospital

Locations

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Department of Anesthesiology, Bispebjerg Hospital

Copenhagen, , Denmark

Site Status

Countries

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Denmark

Other Identifiers

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H-2-2011-029

Identifier Type: -

Identifier Source: org_study_id