Knee replacement patients may get better pain relief with bolus method
NCT ID NCT07605208
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests two methods of delivering pain medicine through an epidural after total knee replacement. One method gives small, steady doses, while the other gives programmed bursts. The goal is to see which approach provides better pain control and helps patients recover faster. About 90 adults having elective knee surgery will take part.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 90 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jun 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults aged 18 to 80 years * American Society of Anesthesiologists (ASA) physical status I-III * Scheduled for elective primary total knee arthroplasty * Eligible for combined spinal-epidural anesthesia and postoperative epidural analgesia * Able to understand and use patient-controlled epidural analgesia * Provided written informed consent Exclusion Criteria: * Refusal to participate in the study * Known allergy or hypersensitivity to study medications * Body mass index (BMI) ≥ 40 kg/m² * Body weight \< 40 kg * Severe cardiac disease, including symptomatic arrhythmia or advanced conduction abnormalities * Coagulopathy (INR \> 1.5 or platelet count \< 100,000/mm³) * Pregnancy or breastfeeding * Revision total knee arthroplasty or emergency surgery * Active infection at the site of regional anesthesia * Chronic opioid use or opioid dependence * Neurological disease or preexisting motor/sensory deficit in the lower extremities * ASA physical status IV or V * Requirement for intraoperative epidural local anesthetic supplementation due to inadequate spinal anesthesia
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Sakarya University Training and Research Hospital, Department of Anesthesiology and Reanimation
Sakarya, Adapazari, 54000, Turkey (Türkiye)
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