Status:

COMPLETED

Combined Intravenous Dexamethasone and Dexmedetomidine as Adjuncts to Popliteal and Saphenous Nerve Blocks in Patients Undergoing Orthopaedic Surgery of the Foot and Ankle

Lead Sponsor:

Zealand University Hospital

Conditions:

Anesthesia, Local

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

The investigators will investigate the beneficial and harmful effects of combining dexamethasone (12 mg) and dexmedetomidine (1mcg/kg) as adjuncts to popliteal and saphenous nerve blocks in patients u...

Detailed Description

This is a randomised, blinded, placebo-controlled, multicentre, parallel, 3-arm clinical trial assessing the effects of adjunct intravenous dexamethasone + dexmedetomidine 1mcg/kg versus intravenous d...

Eligibility Criteria

Inclusion

  • Scheduled for unilateral osseous surgery of the ankle or foot
  • General anaesthesia with both a popliteal and a saphenous nerve block for postoperative analgesia
  • Age of 18 or above
  • American Society of Anaesthesiologists Physical Status Score of 1 to 3
  • Body Mass Index of 18 to 40, but a minimum weight of 50 kg.
  • For fertile women, negative urine humane choriongonadotropine test and use of safe anti-conception
  • Ability to understand the trial protocol, risks, benefits, and provide signed informed consent

Exclusion

  • Inability to read and understand Danish
  • Uncooperativeness (as judged by investigators)
  • Participation in another trial involving medication
  • Allergy to study medication
  • Daily use of opioids above 30 mg/day morphine (or equivalents)
  • Daily use of corticosteroids of more than 5 mg prednisolone equivalents within the past one month
  • Neurological or musculoskeletal disease making block performance impossible (as judged by investigators)
  • Dysregulated diabetes (as judged by investigators)
  • Dysregulated anticoagulants (as judged by investigators)
  • History of drug or alcohol abuse
  • Glaucoma
  • Contraindications for paracetamol or opioids
  • Contraindications to general anaesthesia
  • Other concomitant conditions needing surgery
  • Other concomitant traumatic injuries

Key Trial Info

Start Date :

June 2 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 17 2023

Estimated Enrollment :

120 Patients enrolled

Trial Details

Trial ID

NCT04818749

Start Date

June 2 2021

End Date

May 17 2023

Last Update

June 12 2023

Active Locations (2)

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Page 1 of 1 (2 locations)

1

Department of Anaesthesiology

Køge, Zealand Region of Denmark, Denmark, 4600

2

Department of Anaesthesiology, Bispebjerg Hospital

Copenhagen, Denmark, 2400