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Phase 4 N=65 Randomized Treatment

Liposomal Bupivacaine for Post Operative Pain After Knee Replacement Surgery

Post-operative Pain

Enrolled (actual)
65
Serious AEs
0.0%
Results posted
Jun 2018
Primary outcome: Primary: Pain Intensity at Movement — 8.95; 7.91 VAS Scale

Study Design & Population

Study type
Interventional
Phase
Phase 4
Interventions
Liposome Bupivacaine (Drug); Bupivacaine HCl (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Northwell Health
Primary completion
Dec 2016

Outcome Measures

OutcomeResultp-value
PRIMARY
Pain Intensity at Movement
8.95; 7.91
SECONDARY
Pain Intensity at Rest
5.08; 5.16
SECONDARY
Opioid Consumption
28.91; 26.32
SECONDARY
Mean Plasma Bupivicaine Level
0.04; 1.08
SECONDARY
Mean Plasma Bupivacaine Levels
0.29; 1.76
SECONDARY
Mean Plasma Bupivacaine Level
0.1; 0.1
SECONDARY
Mean Plasma Bupivacaine Level
0.1; 0.1
SECONDARY
Mean Plasma Bupivacaine Level
0.1; 0.1
SECONDARY
Mean Plasma Bupivacaine Level
0.1; 0.1
SECONDARY
Mean Plasma Bupivacaine Level
0.1; 0.1

Summary

Continuous femoral nerve blocks (CFNB) provide effective pain control to patients undergoing total knee replacement (TKR). However the resulting motor blockade can lead to decreased quadriceps muscle strength and delayed functional recovery.The purpose of this study is to compare the effect of Liposome Bupivacaine infiltration into the knee to CFNB on pain control and functional recovery

Eligibility Criteria

Inclusion Criteria

  • ASA Status I-III
  • Scheduled to undergo primary unilateral total knee arthroplasty

Exclusion Criteria

  • Patients who are pregnant or nursing
  • Alcohol or narcotic dependence within the last 2 years
  • Condition requiring regular use of analgesia that may confound post surgical assessments as determined by principle investigator
  • BMI > 40kg/m2
  • Contraindication to acetaminophen, morphine, oxycodone, ketorolac, epinephrine, or pathological conditions potentially aggravated by epinephrine
  • Allergies to amide-type local anesthetics
  • Any disease condition or lab result that could complicate a patients postoperative recovery
  • History of hypotension
  • Abnormal liver, renal or cardiac function
  • Other physical, mental or medical conditions that, in the opinion of the investigator, make study participation inadvisable.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02274870). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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