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Opioid-reduced general anesthesia with epidural sensory-motor balanced anesthesia for knee replacement in elderly patients

Opioid-reduced general anesthesia with epidural sensory-motor balanced anesthesia for knee replacement in elderly patients

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2500104400
Enrollment
Unknown
Registered
2025-06-17
Start date
2025-07-01
Completion date
Unknown
Last updated
2025-06-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Knee Pathologies

Interventions

Opioid-sparing group:Prior to general anesthesia induction, epidural catheterization was performed at L2-3 interspace with administration of 4 mL test dose (0.1% lidocaine). Successful placement was c
Control group:The anesthesia management involved routine induction followed by maintenance with standard-dose remifentanil (0.15-0.3 µg·kg?1·min?1), sevoflurane, and cisatracurium besylate, with suppl

Sponsors

Jinjiang Municipal Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
60 Years to 80 Years

Inclusion criteria

Inclusion criteria: 1.Patients scheduled for elective total knee arthroplasty (TKA); 2.Aged 60–80 years; 3.Body mass index (BMI) 18–29 kg/m^2; 4.American Society of Anesthesiologists (ASA) physical status class I–III; 5. The duration of operation no more than 2 h.

Exclusion criteria

Exclusion criteria: 1. Contraindications to epidural puncture and contraindications to drugs used in the study; 2. Take analgesic drugs 3 months before surgery; 3. Patient refusal.

Design outcomes

Primary

MeasureTime frame
Visual Analogue Scale, VAS;

Secondary

MeasureTime frame
Intraoperative mean arterial pressure;Intraoperative heart rate;Blood Glucose ;C-reactive protein;Interleukin-6;First Ambulation Time;Adverse effects;

Countries

China

Contacts

Public ContactWei Yuanyuan

Jinjiang Municipal Hospital

710156140@qq.com+86 152 5977 1968

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026