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To determine efficacy of preoperative IV dexamethasone for postoperative pain control after TKA.
Preoperative intravenous over 0.1 mg/kg of dexamethasone could be reduced pain after primary TKA.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dexamethasone | Experimental | Preoperative dexamethasone 0.15mg/Kg mixed with NSS to 50 mL IV slowly push over 5 minutes |
|
| Placebo | Placebo Comparator | Preoperative intravenous normal saline 50 mL slowly push over 5 minutes |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dexamethasone | Drug | Dexamethasone 0.15mg/kg mixed with NSS up to 50 mL IV slowly push over 5 minutes |
|
| Measure | Description | Time Frame |
|---|---|---|
| post-operative pain | measured with VAS for pain, drugs for relief pain | 48 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Functional knee score | measured with WOMAC, KSS | 3 month |
| post-operative nausea and vomiting | measured with amount of nausea/vomiting and drugs requiring for fixed its. |
| Measure | Description | Time Frame |
|---|---|---|
| Knee range of motion | measuring range of motion with goniometer | 3 months |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Supakit Kanitnate, M.D. | Orthopaedics department, Thammasat University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Orthopaedic department, Faculty of medicine, Thammasat university | Klongluang | Changwat Pathum Thani | 066 | Thailand |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| D000377 | Agnosia |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| ID | Term |
|---|---|
| D003907 | Dexamethasone |
| D000077330 | Saline Solution |
| ID | Term |
|---|---|
| D011246 | Pregnadienetriols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
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| Normal saline | Drug | NSS 50 mL IV slowly push over 5 minutes |
|
| 48 hours |
| complication of preoperative dexamethasone | measured with wound complication, blood sugar level | 2 weeks |
| inflammatory level | CRP level | 48 hours |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D010468 | Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009422 | Nervous System Diseases |
| D000072473 |
| Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D013259 | Steroids, Fluorinated |
| D000077324 | Crystalloid Solutions |
| D007552 | Isotonic Solutions |
| D012996 | Solutions |
| D004364 | Pharmaceutical Preparations |