Unique ID issued by UMIN | UMIN000005789 |
---|---|
Receipt number | R000006847 |
Scientific Title | Effects of continuous sciatic nerve block added to continuous femoral nerve block for postoperative analgesia after total knee arthroplasty |
Date of disclosure of the study information | 2011/07/01 |
Last modified on | 2013/04/08 14:56:49 |
Effects of continuous sciatic nerve block added to continuous femoral nerve block for postoperative analgesia after total knee arthroplasty
Effects of continuous sciatic nerve block added to continuous femoral nerve block for postoperative analgesia after total knee arthroplasty
Effects of continuous sciatic nerve block added to continuous femoral nerve block for postoperative analgesia after total knee arthroplasty
Effects of continuous sciatic nerve block added to continuous femoral nerve block for postoperative analgesia after total knee arthroplasty
Japan |
Patients undergoing unilateral total knee arthroplasty under general anesthesia
Orthopedics | Anesthesiology | Operative medicine |
Rehabilitation medicine |
Others
NO
The aim of this study is to evaluate the analgesic efficacy of continuous sciatic nerve block compared with single shot sciatic nerve block after total knee arthroplasty. In addition to either continuous or single shot sciatic nerve block, both groups are provided with continuous femoral nerve block and intravenous morphine patient-controlled analgesia system concurrently.
Efficacy
Total morphine consumption within 48 hours after surgery
Visual analogue scale scores, incidence of adverse effects of morphine, the maximum angle of the continuous passive motion of the operated knee on the postoperative day 7 and hospital length of stay
Interventional
Parallel
Randomized
Individual
Double blind -all involved are blinded
Placebo
NO
NO
Institution is not considered as adjustment factor.
YES
No need to know
2
Treatment
Medicine | Maneuver |
Femoral and sciatic nerve blocks are performed just before surgery and perineural catheters are inserted for both peripheral nerves. After surgery, continuous sciatic nerve block (5 ml/h of 0.2% ropivacaine) is provided for 48 hours in addition to continuous femoral nerve block and intravenous morphine patient-controlled analgesia system (1 mg morphine every 10 minutes as needed).
Femoral and sciatic nerve blocks are performed just before surgery and perineural catheters are inserted for both peripheral nerves. After surgery, sham continuous sciatic nerve block (5 ml/h of normal saline) is provided for 48 hours in addition to continuous femoral nerve block and intravenous morphine patient-controlled analgesia system (1 mg morphine every 10 minutes as needed).
18 | years-old | <= |
85 | years-old | >= |
Male and Female
All patients undergoing unilateral total knee arthroplasty
ASA physical status above 3
Fixed valgus and flexion deformities
Rivision knee replacement
Impaired cognitive function
Neuromuscular diseases
Vascular diseases on lower extremities
Diabetes mellitus with insulin therapy
Morbid obesity (body mass index > 35)
Impaired renal function (serum creatinine > 1.5)
Contraindication for peripheral nerve blocks (coagulation abnormalities, infection at the puncture site, allegy to local anesthetics)
Gastric ulcer
Allergy to NSAIDs
Pregnancy or breast feeding
60
1st name | |
Middle name | |
Last name | Keita Sato |
Kitano Hospital
Department of anesthesiology
2-4-20, Ogi-machi, Kita-ku, Osaka, Japan
06-6312-1221
1st name | |
Middle name | |
Last name |
Kitano Hospital
Department of anesthesiology
2-4-20,Ogi-machi, Kita-ku, Osaka, Japan
Kitano Hospital
None
Self funding
NO
財団法人田附興風会医学研究所 北野病院
2011 | Year | 07 | Month | 01 | Day |
Unpublished
Completed
2011 | Year | 05 | Month | 08 | Day |
2011 | Year | 07 | Month | 01 | Day |
2013 | Year | 03 | Month | 29 | Day |
2011 | Year | 06 | Month | 16 | Day |
2013 | Year | 04 | Month | 08 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006847