About this trial
This study evaluates whether injecting a local anesthetic mixture (ropivacaine, morphine, ketorolac, and epinephrine) under the skin at the incision site before wound closure reduces pain after orthopedic wide excision surgery for bone or soft tissue tumors. Participants will be randomly assigned to receive either the local anesthetic mixture or a saline control injection. Neither participants nor the study team assessing outcomes will know which treatment was given. The main goal is to determine whether this injection reduces the amount of opioid pain medication needed during the first 24 hours after surgery. The study will also assess pain scores, nausea and vomiting, and quality of recovery.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Scheduled to undergo elective orthopedic wide excision surgery under general anesthesia
American Society of Anesthesiologists (ASA) Physical Status Classification 1, 2, or 3
Age 19 years or older
Disqualifiers
Unwilling to provide informed consent
History of allergy to local anesthetics
History of chronic pain
Use of opioid analgesics within 24 hours before surgery
Trial design
Parallel
Treatments tested in this trial
Ropivacaine-Morphine-Ketorolac-Epinephrine-Cefuroxime Mixture
Combination productA single subcutaneous/subfascial injection administered at the incision site before skin closure, consisting of 0.75% ropivacaine 20 mL, morphine sulfate 10 mg, ketorolac 30 mg, epinephrine 0.3 mg, and cefuroxime 750 mg, mixed to a total volume of 50 mL.
Cefuroxime-Saline Mixture
DrugA single subcutaneous/subfascial injection administered at the incision site before skin closure, consisting of cefuroxime 750 mg and normal saline, mixed to a total volume of 50 mL.
Treatment groups
Trial outcomes
Primary outcomes
Cumulative Opioid Consumption Within 24 Hours After Surgery
Total opioid consumption during the first 24 hours postoperatively, converted to intravenous morphine milligram equivalents (MME).
Locations
Sponsors and contacts
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