Pain medicine

Repeat dose steroid in high pain responders after total knee arthroplasty: A study protocol

Acta Anaesthesiol ScandPublished Study protocol for a randomised controlled trial

Study context

Population
High pain catastrophizers (Pain Catastrophizing Scale > 20) with moderate to severe pain (VAS > 30) during a 5 m walk test 24 h after total knee arthroplasty (TKA), having received preoperative dexamethasone (1 mg/kg)planned
Participants
55 vs 55
Planned comparison
Repeat oral dexamethasone 24 mg vs placebo on evening of Day 1 after TKA
  • Dexamethasonen = 55
  • Placebon = 55reference
Primary endpoint
Moderate to severe pain (VAS > 30) during a 5 m walk test
Follow-up
Morning of Day 2 after surgery
Methodological detailsplacebo-controlled, Pain diary for 7 days after surgery, Follow-up at 8 and 30 days
  • Placebo-controlled
  • Pain diary for 7 days after surgery
  • Follow-up at 8 and 30 days

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Repeat dose steroid in high pain responders after total knee arthroplasty: A study protocol. Acta Anaesthesiol Scand. Published 1 February 2023. doi:10.1111/aas.14207

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