Actively Recruiting

Phase 4
Age: 65Years - 100Years
All Genders
NCT07180953

Impact of Dexamethasone Route on Pain and Inflammation in iPACK With ACB for Knee Arthroplasty

Led by Poznan University of Medical Sciences · Updated on 2026-02-02

90

Participants Needed

1

Research Sites

60 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

"The Effect of Dexamethasone Administration Route on Pain and Inflammatory Response in iPACK With ACB for Total Knee Arthroplasty" - written in plain language according to ClinicalTrials.gov standards: The goal of this clinical trial is to learn how the route of dexamethasone administration (either through the vein or nerve block) affects pain and inflammation in people having total knee replacement surgery. All participants will receive two types of nerve blocks before surgery: an iPACK block and an adductor canal block (ACB), which help control pain after the operation. The main questions the study aims to answer are: Does injecting dexamethasone into the nerve block reduce pain more effectively than giving it by vein? Which method leads to a lower inflammatory response after surgery? Researchers will compare the two groups to see which route offers better pain relief and less swelling after knee surgery. Participants will: Be randomly assigned to receive dexamethasone either in the nerve block or by IV Receive standard care for total knee replacement Rate their pain and have blood tests after surgery to measure inflammation

CONDITIONS

Official Title

Impact of Dexamethasone Route on Pain and Inflammation in iPACK With ACB for Knee Arthroplasty

Who Can Participate

Age: 65Years - 100Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients scheduled for total knee arthroplasty
  • Patients aged over 65 and under 100 years
  • Patients able to provide informed consent
  • Patients able to reliably report symptoms to the research team
Not Eligible

You will not qualify if you...

  • Inability to provide first-party consent due to cognitive impairment or language barrier
  • Infection at the site of the regional block
  • Coagulation disorders
  • Immunodeficiency
  • American Society of Anesthesiologists (ASA) physical status of IV or higher
  • History of regular steroid medication

AI-Screening

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Trial Site Locations

Total: 1 location

1

Poznan University of Medical Sciences

Poznan, Poland, 62-701

Actively Recruiting

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Research Team

M

Malgorzata Reysner, MD PhD

CONTACT

G

Grzegorz Kowalski, MD PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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