Actively Recruiting

Phase 3
Age: 18Years - 65Years
All Genders
ID06665438

Impact of Dexmedetomidine Added to Intra-articular Bupivacaine for Postoperative Analgesia After Knee Arthroscopic Surgery

Led by Al-Azhar University · Updated on 2025-04-22

75

Participants Needed

2

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

This research aims to compare the pain-relieving effects of adding dexmedetomidine to bupivacaine versus bupivacaine alone after knee arthroscopy, specifically in patients undergoing anterior cruciate ligament (ACL) reconstruction. The study is a prospective, double-blind trial involving 75 patients at Al Azhar University Hospital, focusing on improving postoperative pain management. Participants are randomly assigned to one of three groups: a control group receiving 18 ml of normal saline injected into the knee joint, a group receiving 18 ml of 0.25% bupivacaine injected intra-articularly, and a group receiving dexmedetomidine at 1 mcg/kg added to the bupivacaine injection. All injections are administered through the arthroscope by the surgeon after completing the procedure. During the study, pain levels will be assessed using the visual analog scale (VAS) at multiple time points after surgery, including 30 minutes, 1, 2, 4, 6, 12, and 24 hours. Researchers will also monitor the total consumption of meperidine, an additional pain medication used if pain exceeds a certain level. Safety and effectiveness of the pain relief methods will be closely evaluated throughout the postoperative period.

CONDITIONS

Brief Title

Dexmedetomidine and Bupivacaine Intra-articular for Postoperative Analgesia After Knee Arthroscopic Surgery

Who Can Participate

Age: 18Years - 65Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • ASA I-II patients
  • Any gender
  • Aged 18 to 65 years
  • Candidates for anterior cruciate ligament (ACL) reconstruction by knee arthroscopy
Not Eligible

You will not qualify if you...

  • Patients with kidney failure, liver failure, valvular or ischemic heart disease, high blood pressure, diabetes, history of infection, or malignancy
  • History of coagulation disorders or drug allergies to study medications
  • Use of NSAIDs or analgesics within 24 hours before surgery

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Surgery and Immediate Post-operative Care

Duration - Day of surgery

Participants undergo knee arthroscopic surgery with an intra-articular injection of either dexmedetomidine, bupivacaine, or normal saline after the procedure to manage postoperative pain.

1 visit (in-person)

Post-operative Follow-up

Duration - 24 hours post surgery

Participants are monitored for pain levels and analgesic use during the first 24 hours after surgery.

Multiple assessments at 30 minutes, 1, 2, 4, 6, 12, and 24 hours post surgery

Trial Site Locations

Total: 2 locations

1

Al-Azhar University

Asyut, Egypt, 71523

Actively Recruiting

2

Al-Azhar University

Asyut, Egypt

Not Yet Recruiting

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Research Team

M

Mohamed A. Mahmoud, MD

W

Warda D.K. Ali, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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