Status:

TERMINATED

Combination of Peripheral Nerve Block and DepoDur in Total Knee Joint Replacement

Lead Sponsor:

University of Louisville

Collaborating Sponsors:

EKR Therapeutics, Inc

Conditions:

Arthroplasty, Replacement, Knee

Eligibility:

All Genders

18-70 years

Phase:

PHASE4

Brief Summary

The investigators hypothesize that patients who receive a femoral catheter with low dose epidural Depodur will experience comparable or superior pain relief than those who receive both femoral and sci...

Detailed Description

After obtaining written informed consent, all patients will be sedated with 1-5 mg midazolam and up to 100 mcg fentanyl before any procedure is performed. They will be attached to standard ASA monitor...

Eligibility Criteria

Inclusion

  • Scheduled for total knee replacement or revision of total knee replacement
  • Agree to have a regional technique including neuraxial analgesia for post-operative analgesia
  • Be 18 to 70 years old
  • Classified as ASA score I-III

Exclusion

  • Allergic to morphine
  • Allergic to local anesthetics
  • Been on opioids for more than 4 weeks
  • Not willing to be randomized
  • On anticoagulation medications that prevent placement of epidural
  • Sensitive to effects of neuraxial opioids
  • BMI\>35
  • Severe COPD
  • Obstructive sleep apnea (OSA, see below). Each patient will be asked the questions below to determine their risk for OSA (STOP questionnaire). Patients who answer yes to 3 or more of the major criteria of the STOP questionnaire and have one of the minor criteria will be excluded from the study
  • STOP Questionnaire for OSA
  • Major Criteria:
  • S- Do you snore loudly (louder than talking or loud enough to be heard through closed doors)?
  • T-"Do you often feel tired, fatigued, or sleepy during daytime?
  • O-"Has anyone observed you stop breathing during your sleep?
  • P-"Do you have or are you being treated for high blood pressure?
  • Minor Criteria:
  • BMI\>35
  • Age\>50 yrs
  • Neck Circumference\>40 cm
  • Male gender

Key Trial Info

Start Date :

December 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2012

Estimated Enrollment :

75 Patients enrolled

Trial Details

Trial ID

NCT00895531

Start Date

December 1 2009

End Date

December 1 2012

Last Update

July 27 2017

Active Locations (1)

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1

University of Louisville Hospital

Louisville, Kentucky, United States, 40202