Which anesthesia gets you home faster after joint replacement?
NCT ID NCT07334132
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study compares general anesthesia (being fully asleep) with spinal anesthesia (numbing the lower body) in 600 adults having knee or hip replacement as outpatient surgery. The goal is to see which method leads to successful same-day discharge without readmission. Researchers will also track pain, nausea, recovery time, and patient satisfaction up to 12 months after surgery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- general anesthesia (propofol and remifentanil) or spinal anesthesia
- What this could lead to
- If successful, this could show which anesthesia method helps patients go home sooner and recover more comfortably after joint replacement surgery.
- What could go wrong
- This is a phase 4 trial comparing two standard techniques, so no breakthrough is expected. Results may not apply to all patients or hospitals.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
About 600 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
-
Apr 2026
An estimate. Start dates often move.
- Expected to finish
-
Dec 2029
An estimate. End dates often move.
- Lead sponsor
-
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
-
18 to 80 years
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. The participant has given their written consent to participate in the trial. 2. Planned for primary TKA or THA. 3. Adults aged 18 to 80 years at time of written consent. 4. ASA (American Society of Anaesthesiologists) classification 1 or 2, or 3 without significant functional impairment. 5. Scheduled start of surgery before 13:00. 6. Ability to communicate in Swedish, ensuring understanding of informed consent and follow-up procedures. Exclusion Criteria: 1. Indication for surgery other than degenerative or inflammatory joint diseases (e.g. fracture). 2. Body mass index (BMI) \> 35 kg/m. 3. Preoperative opioid use exceeding 20 mg oral morphine equivalents daily. 4. Haemoglobin \< 120 g/L (sample no older than 3 months). 5. Known bleeding disorders, including coagulopathies. 6. Known allergies to investigational anaesthetic drugs (e.g., bupivacaine, remifentanil, or propofol). 7. Neurological conditions with persistent motor or sensory deficits. 8. Localised infections at the spinal injection site. 9. Determined by the surgical or anaesthesia team to be unsuitable for trial participation and/or outpatient surgery. 10. Women of childbearing potential (i.e., those who are fertile, following menarche and until becoming post-menopausal, unless permanently sterile) 1. Who are not willing to use a highly effective method of contraception judged by the investigator, from the time of signing the informed consent, OR 2. Who has a positive pregnancy test at enrolment
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Inflammatory joint disease (IJD) are added.
Genom att skicka in godkänner du våra Användarvillkor
Conditions
The condition(s) this trial relates to.
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.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
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.
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a robot make a new knee feel like your own?
- Can your own cells ease osteoarthritis pain?
- Can your own bone marrow beat steroids for knee pain?
- Ultrasound may predict which patients get poor pain relief from a common knee block
- Can a new Slow-Release ibuprofen tame knee arthritis pain for 12 hours?
- Steroid cocktail may offer better pain control after knee replacement