anaesthesie, pijnbehandeling pain perception total knee replacement.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 18-80 years. Elective total knee replacement,
Exclusion criteria
Exclusion criteria: Fever, temperature higher than 37.5 degrees Celsius (orthopedic surgery don*t proceed) Allergy to local anesthetics Allergy to buprenorphine pregnancy Opiate use pre existent for surgery, Infection of the skin at the area of the needle insertion opening in favor of Vagus femoralisblokkade. Revision surgery of the knee. General anesthesia instead of spinal anesthesia. If patient is not under full anesthetic protocol policy for prosthetic hip and knee surgery. EGFR
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Does 0.3 mg of buprenorphine as an additive in femoral nerve blockade prolongs analgesia? | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Does buprenorphine 0.3 mg as an additive in nerve femoralisblokkade give a reduction of postoperative opiate use the first 24-48 hours postoperatively? 2. Does buprenorphine 0.3 mg subcutaneously given the same effect as if close to nerve femoralisblokkade administered? 3. Does buprenorphine 0.3 mg as an additive in nerve femoralisblokkade increase nausea during the first 24 hours postoperatively. 4. Does buprenorphine 0.3 mg as an additive in nerve femoralisblokkade give a reduction of VAS score postoperatively? 5. Does buprenorphine 0.3 mg as an additive in a patient with nervus femoralisblokkade the first 24 hours postoperatively better mobilization (definedd as 30mtr walking)? 6. Does buprenorphine 0.3 mg as an additive in nerve femoralisblokkade produce a higher quality of life (QOL) score the first 24 hours postoperatively? 7. Does buprenorphine 0.3 mg as an additive prolonged nerve femoralisblokkade analgesia compared with a nerve femoralisblokkade without buprenorphine 0.3 mg? 8. Does buprenorphine 0.3 mg as an additive in nerve femoralisblokkade immediately postoperatively improved sleep? 9. Does buprenorphine 0.3 mg as an additive in femoralisblokkade nerve in orthopedic follow-up after 8 weeks show of a difference in knee function? 10. subcutaneous administration of 0.3 mg of buprenorphine give the same results measured on the above variables, with respect to a dose of 0.3 mg of buprenorphine in the femoral nerve? | — |
Countries
Netherlands