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Effectiveness of Adductor Canal Block Using Liposomal Bupivacaine

Studies

Study First Submitted Date 2019-06-26
Study First Posted Date 2019-07-01
Last Update Posted Date 2023-06-26
Start Month Year August 1, 2023
Primary Completion Month Year October 2024
Verification Month Year June 2023
Verification Date 2023-06-30
Last Update Posted Date 2023-06-26

Facilities

Sequence: 199678440
Name Queen Mary Hospital
City Hong Kong
Country Hong Kong

Facility Contacts

Sequence: 28065407
Facility Id 199678440
Contact Type primary
Name Chi Wing Chan, MBBS
Email timmychancw@gmail.com
Phone 2255 5791

Browse Interventions

Sequence: 95863614 Sequence: 95863615 Sequence: 95863616 Sequence: 95863617 Sequence: 95863618 Sequence: 95863619 Sequence: 95863620
Mesh Term Bupivacaine Mesh Term Anesthetics, Local Mesh Term Anesthetics Mesh Term Central Nervous System Depressants Mesh Term Physiological Effects of Drugs Mesh Term Sensory System Agents Mesh Term Peripheral Nervous System Agents
Downcase Mesh Term bupivacaine Downcase Mesh Term anesthetics, local Downcase Mesh Term anesthetics Downcase Mesh Term central nervous system depressants Downcase Mesh Term physiological effects of drugs Downcase Mesh Term sensory system agents Downcase Mesh Term peripheral nervous system agents
Mesh Type mesh-list Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor

Conditions

Sequence: 52078471
Name Pain, Postoperative
Downcase Name pain, postoperative

Id Information

Sequence: 40084868
Id Source org_study_id
Id Value UW19-304

Countries

Sequence: 42484343
Name Hong Kong
Removed False

Design Groups

Sequence: 55491858 Sequence: 55491857
Group Type Active Comparator Group Type Experimental
Title group SB Title Group LB
Description LIA with ACB will be given using 20ml 0.5%standard bupivacaine Description local infiltration of analgesia (LIA) with adductor canal block (ACB) will be given using 10ml of 1.33% liposomal bupivacaine with 10ml 0.5% standard bupivacaine

Interventions

Sequence: 52391559 Sequence: 52391560
Intervention Type Drug Intervention Type Drug
Name Liposomal bupivacaine Name Bupivacaine Injection
Description LIA with ACB will be given using 10ml of 1.33% liposomal bupivacaine + 10ml 0.5% standard bupivacaine Description LIA with ACB will be given using 20ml 0.5% standard bupivacaine

Keywords

Sequence: 79715458 Sequence: 79715459 Sequence: 79715460 Sequence: 79715461 Sequence: 79715462 Sequence: 79715463 Sequence: 79715464
Name bupivacaine Name LIA Name ACB Name total knee replacement Name post operative pain Name acute pain Name anaesthesia
Downcase Name bupivacaine Downcase Name lia Downcase Name acb Downcase Name total knee replacement Downcase Name post operative pain Downcase Name acute pain Downcase Name anaesthesia

Design Outcomes

Sequence: 177062741 Sequence: 177062742 Sequence: 177062743 Sequence: 177062744 Sequence: 177062745 Sequence: 177062746
Outcome Type primary Outcome Type primary Outcome Type secondary Outcome Type secondary Outcome Type secondary Outcome Type secondary
Measure Pain assessed by numerical rating scales (NRS) pain scores Measure PCA morphine consumption Measure Range of motion (ROM) of knee Measure Walking Distance Measure Degree of assistance Measure Ability to stand
Time Frame at postoperative day 1 Time Frame from postoperative day 0 until postoperative day 5 Time Frame from postoperative day 0 until postoperative day 6 Time Frame from postoperative day 0 until postoperative day 6 Time Frame from postoperative day 0 until postoperative day 6 Time Frame from postoperative day 0 until postoperative day 6
Description NRS pain scores (from 0-10, where 0 is the least satisfaction and 10 most satisfaction) will be recorded during movement and at rest, by NRS (movement) and NRS (rest) respectively Description Cumulative PCA morphine doses (in mg) will be recorded daily based on medical record. Description Active and Passive ROM of knee (flexion and extension) will be recorded. Description Walking distance will be measured in meters Description Patients' ability to walk will be assessed. There are three categories including walking without help, walking with walking frame and being unable to walk Description Patients' ability to stand is recorded after surgery

Browse Conditions

Sequence: 193117696 Sequence: 193117693 Sequence: 193117694 Sequence: 193117695 Sequence: 193117697
Mesh Term Pain Mesh Term Pain, Postoperative Mesh Term Postoperative Complications Mesh Term Pathologic Processes Mesh Term Neurologic Manifestations
Downcase Mesh Term pain Downcase Mesh Term pain, postoperative Downcase Mesh Term postoperative complications Downcase Mesh Term pathologic processes Downcase Mesh Term neurologic manifestations
Mesh Type mesh-ancestor Mesh Type mesh-list Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor

Sponsors

Sequence: 48233340
Agency Class OTHER
Lead Or Collaborator lead
Name The University of Hong Kong

Overall Officials

Sequence: 29231231
Role Principal Investigator
Name Chi Wing Chan, MBBS
Affiliation Queen Mary Hospital, Hong Kong

Central Contacts

Sequence: 11989474
Contact Type primary
Name Chi Wing Chan, MBBS
Phone 2255 5791
Email timmychancw@gmail.com
Role Contact

Design Group Interventions

Sequence: 68026169 Sequence: 68026170
Design Group Id 55491857 Design Group Id 55491858
Intervention Id 52391559 Intervention Id 52391560

Eligibilities

Sequence: 30711442
Gender All
Minimum Age 18 Years
Maximum Age 80 Years
Healthy Volunteers Accepts Healthy Volunteers
Criteria Inclusion Criteria:

ASA I-III
Scheduled for elective primary unilateral total knee replacement
Chinese patients
Able to speak and understand Cantonese
Able to provide informed oral and written consent

Exclusion Criteria:

Revision total knee replacement
Single stage bilateral total knee replacement
Known allergy to opioids, local anaesthetic drugs, paracetamol, non-steroidal anti-inflammatory drugs (NSAIDS) including COX-2 inhibitors
History of chronic pain other than chronic knee pain
History of immunosuppression
Daily use of glucocorticoids
Daily use of strong opioids (morphine, fentanyl, hydromorphone, ketobemidone, methadone, nicomorphine, oxycodone, or meperidine)
History of severe heart disease (NYHA 2)
Alcohol or drug abuse
Impaired renal function, defined as preoperative serum creatinine level over 120 μmol/L
Pre-existing neurological or muscular disorders
Psychiatric illness or neurologic or psychiatric diseases potentially influencing pain perception
Impaired or retarded mental state
Difficulties in using patient controlled analgesia (PCA)
Pregnancy
Local infection
On immunosuppresants
Patient refusal

Adult True
Child False
Older Adult True

Calculated Values

Sequence: 253938515
Number Of Facilities 1
Registered In Calendar Year 2019
Were Results Reported False
Has Us Facility False
Has Single Facility True
Minimum Age Num 18
Maximum Age Num 80
Minimum Age Unit Years
Maximum Age Unit Years
Number Of Primary Outcomes To Measure 2
Number Of Secondary Outcomes To Measure 4

Designs

Sequence: 30458027
Allocation Randomized
Intervention Model Parallel Assignment
Observational Model
Primary Purpose Treatment
Time Perspective
Masking Double
Subject Masked True
Investigator Masked True

Responsible Parties

Sequence: 28824500
Responsible Party Type Principal Investigator
Name Dr. Chan Chi-Wing
Title Consultant
Affiliation The University of Hong Kong