Status:

COMPLETED

Oral Dexamethasone as an Adjunct to a Brachial Plexus Block in Patients Undergoing Orthopaedic Surgery of the Forearm and Hand

Lead Sponsor:

Zealand University Hospital

Conditions:

Anesthesia, Local

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

The investigators will assess the beneficial and harmful effects of oral dexamethasone (12 mg or 24 mg) versus placebo in patients undergoing orthopaedic surgery of their hand or forearm with a latera...

Detailed Description

This is a randomised, blinded, placebo-controlled, multicentre, parallel, 3-arm clinical trial assessing the effects of adjunct oral dexamethasone (12mg or 24mg) versus placebo on time to first pain (...

Eligibility Criteria

Inclusion

  • Scheduled for unilateral osseous surgery of the hand or forearm.
  • Anaesthesia with an infraclavicular brachial plexus block
  • 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 and 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 anti-coagulants (as judged by investigators)
  • History of drug or alcohol abuse
  • Glaucoma
  • Contraindications for paracetamol or opioids
  • Other concomitant conditions needing surgery
  • Other concomitant traumatic injuries

Key Trial Info

Start Date :

June 28 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 4 2023

Estimated Enrollment :

180 Patients enrolled

Trial Details

Trial ID

NCT04853446

Start Date

June 28 2021

End Date

May 4 2023

Last Update

May 25 2023

Active Locations (3)

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Page 1 of 1 (3 locations)

1

Department of Anaesthesiology

Køge, Zealand Region of Denmark, Denmark, 4600

2

Department of Anaesthesiology

Slagelse, Zealand Region of Denmark, Denmark, 4200

3

Department of Anaesthesiology, Bispebjerg Hospital

Copenhagen, Denmark, 2400