Continuous Versus Single Injection Adductor Canal Blocks for Outpatient Total Knee Arthroplasty

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of California, San Diego

About this trial

This is a single-center pilot study to determine if an adductor canal continuous nerve block is superior to single injection nerve block following total knee arthroplasty. Investigators will randomize participants to either continuous nerve block or single injection nerve block for the adductor canal preoperatively. They will assess differences in pain (measured in numeric rating scale), opioid consumption, and physical therapy milestones from postoperative day 0 to 7.

Eligibility criteria

Qualifiers

Adult participants of at least 18 years of age

Undergoing a primary, unilateral, total knee arthroplasty

Planned single-injection adductor canal nerve block

Weight > 50 kg (to minimize the risk of local anesthetic toxicity)

Disqualifiers

chronic opioid or tramadol use: daily oxycodone equivalents > 20 mg for > 4 weeks

neuro-muscular deficit of the surgical limb

moderate pain (NRS > 3) in an anatomic location other than the surgical site

planned hospital admission following surgery

Trial design

Treatments tested in this trial

  • continuous peripheral nerve block with OnQ pump
  • single injection nerve block

Treatment groups

40 Participants
are divided into 2 treatment groups