Yale Steroid Enhanced Versus Exparel Nerveblock TKA RCT Study

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorYale University

About this trial

The objective of this phase 2 study is to investigate the efficacy of Dexamethasone sodium phosphate (DEX) plus Methylprednisolone acetate (MPA) in combination with plain bupivacaine (B) compared with Liposomal Bupivacaine (LB) in combination with plain bupivacaine on post-surgical pain control among patients undergoing unilateral total knee arthroplasty (TKA) to asses if perineural B-DEX-MPA will result in superior analgesia efficacy as compared to B-LB.

This study will also assess if perineural B-DEX-MPA results in improved quality of postoperative recovery as compared to B-LB.

Eligibility criteria

Qualifiers

American Society of Anesthesiologists status I, II and III, elective, primary, unilateral TKA planned for spinal anesthesia with plain 0.5% bupivacaine.

Disqualifiers

Refusal of consent

Pregnancy

Conditions making the patient unable to fill out questionnaire online, through email or over the phone including with cognitive dysfunction, psychiatric disorder, or non-English speaking patients, or lack of internet access which would prevent post discharge follow-up electronically

Coagulopathy

Trial design

Treatments tested in this trial

  • Bupivacaine-Liposomal Bupivacaine
  • Bupivacaine -Dexamethasone Sodium Phosphate-Methylprednisolone Acetate

Treatment groups

250 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Yale University

Lead sponsor

Department of Anesthesiology Faculty Development Fund

Collaborator