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ArticleActa anaesthesiologica Scandinavica2025

Optimal Analgesic Volume for Popliteal Plexus Block After Total Knee Arthroplasty: A Blinded RCT Protocol.

Johan Kløvgaard Sørensen, Mikkel Schjødt Heide Jensen, Ulrik Grevstad, Lone Nikolajsen, Charlotte Runge

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Acta anaesthesiologica Scandinavica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06908837 (Effects of 10 Versus 20 mL Local Anesthetic for Popliteal Plexus Block on Opioid Consumption, Pain, and Patient-Reported Outcomes After Total Knee Arthroplasty - a Randomized, Controlled, Blinded Study), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06908837 phase4completednot on this map

Effects of 10 Versus 20 mL Local Anesthetic for Popliteal Plexus Block on Opioid Consumption, Pain, and Patient-Reported Outcomes After Total Knee Arthroplasty - a Randomized, Controlled, Blinded Study

TypeinterventionalSponsorRegionshospitalet SilkeborgRan2025 to 2025Enrolled120ConditionsTotal Knee Arthroplasty, Regional Anesthesia, Multimodal Analgesic Approach, Postoperative Opioid-related ComplicationsArmsBupivacaine
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Johan Kløvgaard SørensenDepartment of Anaesthesiology, Elective Surgery Centre, Silkeborg Regional Hospital, Silkeborg, Denmark.ORCID 0009-0006-0087-3719
Mikkel Schjødt Heide JensenDepartment of Anaesthesiology, Elective Surgery Centre, Silkeborg Regional Hospital, Silkeborg, Denmark.ORCID 0009-0006-6519-2033
Ulrik GrevstadDepartment of Anaesthesia, Gentofte Hospital, Gentofte, Denmark.
Lone NikolajsenDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.ORCID 0000-0002-2705-7088
Charlotte RungeDepartment of Anaesthesiology, Elective Surgery Centre, Silkeborg Regional Hospital, Silkeborg, Denmark.ORCID 0000-0001-9480-2490

Funding

Health Research Fund of Central Denmark RegionInstitution of Clinical Medicine, Aarhus University
6 · The paper itself

Abstract

backgroundAdjunct treatment with a popliteal plexus block (PPB) provides moderate enhancement to multimodal analgesic regimens following total knee arthroplasty while maintaining motor function. However, the optimal anesthetic volume of local anesthetic for PPB remains unknown.

aimTo compare the analgesic effects of PPB with 10 versus 20 mL of local anesthetics as an adjunct to a femoral triangle block after total knee arthroplasty.

methodsThis blinded, controlled, randomized clinical trial will include 120 patients, randomly assigned to receive PPB with either 10 or 20 mL of bupivacaine 5 mg/mL. All patients undergo primary total knee arthroplasty under spinal anesthesia and receive a multimodal analgesia regimen, including paracetamol, ibuprofen, opioids, dexamethasone, and a femoral triangle block. OUTCOMES: Primary outcome is 24-h postoperative opioid consumption. Secondary outcomes include the frequency of patients with opioid-free analgesia in the first 24 h after surgery, postoperative pain intensity at rest and during mobilization, postoperative muscle function of the leg, ability to mobilize with crutches 6 h after surgery, and Quality of Recovery-15 survey at 24 h after surgery.

conclusionThis trial hopes to optimize postoperative pain management after total knee arthroplasty by providing valuable insights into the optimal analgesic volume for PPB.

trial registrationDanish Data Protection Agency: 693807, clinicaltrials.gov: NCT06908837, CTIS: 2024-520204-26-00.

Indexed as

Anesthetics, LocalArthroplasty, Replacement, KneeNerve BlockPostoperative PainAgedAnalgesics, OpioidBupivacaineDouble-Blind MethodFemaleHumansMaleMiddle AgedRandomized Controlled Trials as TopicAnalgesics, OpioidAnesthetics, LocalBupivacaineperipheral nerve blockpostoperative painregional anesthesiatotal knee arthroplasty

Identifiers

PMID40346895
PMCPMC12065016

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.