This study will provide knowledge about the use of long-acting opioids for pain relief after primary knee arthroplasty. The investigators will compare depot tapentadol, depot oxycodone and placebo for effect on pain relief and side effects. The three study groups reflect the three different postoperative pain regimens that have been used the last years at St. Olavs Hospital, so investigators know that no patient will receive an inadequate pain treatment. The purpose of the study is to find which of the three treatments that gives the best pain relief with the least amount of side effects. The results will be of use for postoperative pain treatment for knee arthroplasty, but also for other types of major surgery. Similar studies that are not sponsored by pharmaceutical industry have not been published yet.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
134
premedication of Dexamethasone, Paracetamol, Vimovo; postoperative Paracetamol and Vimovo
Anestesiavdelingen, St Olavs Hospital
Trondheim, Norway
Area under curve (AUC) based on daily numeric rating score (NRS) scale 1-10 for pain by mobilization the first 8 postoperative days
NRS-scores
Time frame: 8 days
Pain at rest in the previous 24 hours
NRS-scores 1-10 scale
Time frame: 8 days
worst pain in the previous 24 hours
NRS-scores 1-10 scale
Time frame: 8 days
quality of sleep in the previous night
NRS-scores 1-10 scale
Time frame: 8 days
nausea in the previous 24 hours
NRS-scores 1-10 scale
Time frame: 8 days
obstipation in the previous 24 hours
NRS-scores 1-10 scale
Time frame: 8 days
dizziness in the previous 24 hours
NRS-scores 1-10 scale
Time frame: 8 days
sedation in the previous 24 hours
NRS-scores 1-10 scale
Time frame: 8 days
headache
NRS-scores 1-10 scale
Time frame: 8 days in the previous 24 hours
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