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Determination of the Optimal Volume of Liposomal Bupivacaine in Adductor Canal Block for Knee Joint Surgery

Determination of the Optimal Volume of Liposomal Bupivacaine in Adductor Canal Block for Knee Joint Surgery

Recruiting
18-65 years
All
Phase 4

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Overview

Building on Bayesian design methodologies from volume optimization studies of ropivacaine in shoulder surgery, this study pioneers the application of a seamless dose-finding strategy in knee ACB. Utilizing advanced statistical models (BOIN/BOP2 design), we aim to systematically evaluate the volume-effect relationship of liposomal bupivacaine, providing precise dosing recommendations to advance personalized and optimized analgesic protocols for knee surgery.

Eligibility

Inclusion Criteria:

  • Patients undergoing elective general anesthesia for unilateral knee joint surgery.
  • Patients who provide informed consent.
  • Aged between 18 and 65 years old, regardless of gender.
  • American Society of Anesthesiologists (ASA) physical status classification of Ⅰ to Ⅲ
  • Body mass index (BMI) ≤ 35 kg/m².

Exclusion Criteria:

  • Femoral neuropathy.
  • Coagulation dysfunction.
  • Allergy to local anesthetics.
  • Infection at the puncture site.
  • History of chronic pain or opioid use.
  • Pregnancy.
  • Diabetes mellitus and peripheral neuropathy.

Study details
    Optimal Volume of Liposomal Bupivacaine

NCT06942689

Nanjing First Hospital, Nanjing Medical University

30 April 2025

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