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