Dexamethasone for iPACK Block With ACB in Total Knee Arthroplasty
NCT Number: NCT06470204
Status: NOT_YET_RECRUITING
Study Type: INTERVENTIONAL
Phases: PHASE4
Conditions: Knee Osteoarthritis|Knee Pain Chronic|Knee Arthritis
Interventions: DRUG: Ropivacaine|DRUG: Ropivacaine+Dexamethasone
Sponsor: Poznan University of Medical Sciences
Sex: ALL
Age: OLDER_ADULT
Enrollment: 60
Study Design: Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: QUADRUPLE (PARTICIPANT, CARE_PROVIDER, INVESTIGATOR, OUTCOMES_ASSESSOR)|Primary Purpose: TREATMENT
Start Date: 2024-09-01
Completion Date: 2025-08-30

Summary:
Effect of adding Dexamethasone to Infiltration between the Popliteal Artery and Capsule of the Knee Block with ACB in Patients undergoing Total Knee Arthroplasty

Primary Outcome Measures: Time to first rescue opioid analgesia, Time after surgery when the patient needs opiate for the first time, 48 hours after surgery
Secondary Outcome Measures: Total Opioid Consumption, Total opiate consumption after surgery, 48 hours after surgery|Numerical Rating Scale [range 0:10], Postoperative pain assessment will be performed using the NRS score (0 = no pain, 10 = the most severe pain felt), 4 hours after surgery|Numerical Rating Scale [range 0:10], Postoperative pain assessment will be performed using the NRS score (0 = no pain, 10 = the most severe pain felt), 8 hours after surgery|Numerical Rating Scale [range 0:10], Postoperative pain assessment will be performed using the NRS score (0 = no pain, 10 = the most severe pain felt), 12 hours after surgery|Numerical Rating Scale [range 0:10], Postoperative pain assessment will be performed using the NRS score (0 = no pain, 10 = the most severe pain felt), 24 hours after surgery|Numerical Rating Scale [range 0:10], Postoperative pain assessment will be performed using the NRS score (0 = no pain, 10 = the most severe pain felt), 48 hours after surgery|Quadriceps muscle strength assessed using medical research council scale [range 0:5], Quadriceps muscle strength (knee extension and hip adduction) will be evaluated according to the medical research council muscle strength rating, 4 hours after surgery|Quadriceps muscle strength assessed using medical research council scale [range 0:5], Quadriceps muscle strength (knee extension and hip adduction) will be evaluated according to the medical research council muscle strength rating, 8 hours after surgery|Quadriceps muscle strength assessed using medical research council scale [range 0:5], Quadriceps muscle strength (knee extension and hip adduction) will be evaluated according to the medical research council muscle strength rating, 12 hours after surgery|Quadriceps muscle strength assessed using medical research council scale [range 0:5], Quadriceps muscle strength (knee extension and hip adduction) will be evaluated according to the medical research council muscle strength rating, 24 hours after surgery|Quadriceps muscle strength assessed using medical research council scale [range 0:5], Quadriceps muscle strength (knee extension and hip adduction) will be evaluated according to the medical research council muscle strength rating, 48 hours after surgery|Nerve damage [range 0-4], Nerve damage assesment will be performed using the nerve damage score (N0- no nerve damage; N1- minor - sensory paresthesia; N2- major -complete sensory anesthesia; N3- Complete- complete motor defect with or without paraesthesia; N4-CRPS- Complex Regional Pain Syndrome), 12 hours after surgery|Nerve damage [range 0-4], Nerve damage assesment will be performed using the nerve damage score (N0- no nerve damage; N1- minor - sensory paresthesia; N2- major -complete sensory anesthesia; N3- Complete- complete motor defect with or without paraesthesia; N4-CRPS- Complex Regional Pain Syndrome), 24 hours after surgery|Nerve damage [range 0-4], Nerve damage assesment will be performed using the nerve damage score (N0- no nerve damage; N1- minor - sensory paresthesia; N2- major -complete sensory anesthesia; N3- Complete- complete motor defect with or without paraesthesia; N4-CRPS- Complex Regional Pain Syndrome), 48 hours after surgery|glucose, blood glucose level, 12 hours after surgery|glucose, blood glucose level, 24 hours after surgery|glucose, blood glucose level, 48 hours after surgery