Total Knee Arthroplasty Ropivacaine tourniquet Pharmacokinetic profile Totale knieprothese ropivacaine bloedleegteband farmacokinetisch profiel
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - age 50-80 years - ASA physical health classification I ¨C II - Body Mass Index (BMI) < 40 - Patient planned for a primary unilateral posterior-stabilized tri-compartmental cemented total knee replacement (Genesis II - PS) under unilateral spinal anesthesia with 2 mL hyperbaric bupivacaine 0.5% - Scheduled for fast-track protocol TKA - Hemoglobin (Hb) concentration ¡Ý 7.5 mMol/L - Written informed consent
Exclusion criteria
Exclusion criteria: - Placement of a surgical drain - Contra-indications for spinal anesthesia - Known hypersensitivity to amide-type local anesthetics - Hepatic or renal insufficiency - Use of fluvoxamine, ciprofloxacin, ketoconazole, erythromycin, clarithromycin, itraconazole, or rifampicin because of their effect on ropivacaine clearance. - Any reason to perform surgery with the use of a tourniquet - Any other reason which in the opinion of the investigator makes the patient unsuitable for participation in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| -Mean total and unbound maximum serum concentration of ropivacaine (Cmax and Cumax) -Mean time to total and unbound maximum serum concentration of ropivacaine (Tmax an Tumax) | — |
Contacts
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