Knee Arthroplasty
Conditions
Keywords
spinal anesthesia, morphine, fentanyl, pain, knee
Brief summary
This study is planned to investigate the efficacy of combined infusion of intrathecal morphine and fentanyl in patients undergoing total knee arthroplasty.
Interventions
Intrathecal morphine 100 mcg will be injected.
Intrathecal fentanyl 25 mcg will be injected.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients scheduled total knee replacement under spinal anesthesia * ASA I-III
Exclusion criteria
* Coagulopathy * Heart disease * Liver disease * Kidney disease * Infection * Psychological disorder * Allergy to bupivacaine * Allergy to morphine * Allergy to fentanyl * Inability to use patient-controlled analgesic device * Opioids due to chronic pain
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain scores at 6 hour postoperatively | At 6 hour postoperatively | Postoperative pain scores will be measured using visual-analogue scale (0:no pain, 10: worst imaginable pain). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient-controlled analgesic device requirements | At 6, 12, and 24 hour postoperatively | The requirements of patient-controlled analgesic device will be measured. Morphine will be used for patient-controlled analgesic device. Total dose of morphine used at 6, 12, and 24 hour postoperatively will be measured. |
| Number of participants with nausea | At 6, 12, and 24 hour postoperatively | — |
| Postoperative pain scores at 12 and 24 hour postoperatively | At 12 and 24 hour postoperatively | Postoperative pain scores will be measured using visual-analogue scale (0:no pain, 10: worst imaginable pain). |
| Number of participants with pruritus | At 6, 12, and 24 hour postoperatively | — |
| Number of participants with respiratory depression | At 6, 12, and 24 hour postoperatively | — |
| Number of participants with vomiting | At 6, 12, and 24 hour postoperatively | — |