The Efficacy of Tibial nerve block and Obturator nerve block combined with Continuous adductor canal block after Total knee arthroplasty : A Randomized controlled trial.

none0 个研究点目标入组 90 人开始时间: 2017年5月15日最近更新: 2024年8月19日

适应症

试验速览

暂无简介。

•patient who was scheduled for total knee arthroplasty at King Chulalongkorn Memorial Hospital
•American Society of anesthesiologist ASA class 1 to 3
•o ASA class 1 A normal healthy patient non smoking no or minimal alcohol use
•o ASA class 2 A patient with mild systemic disease Mild diseases only without substantive functional limitations Examples include but not limited to current smoker social alcohol drinker pregnancy obesity 30 BMI 40 well controlled DM HTN mild lung disease
•o ASA class 3 A patient with severe systemic disease but not threaten to life poorly controlled DM or HTN COPD morbid obesity BMI 40 active hepatitis alcohol dependence or abuse implanted pacemaker moderate reduction of ejection fraction ESRD undergoing regularly scheduled dialysis premature infant PCA 60 weeks history 3 months of MI CVA TIA or CAD stents
•o Body mass index (BMI) between 18 to 40 kg/m2

•o refuse to participate this study
•o allergy to any drug in this study
•o contraindication to neuraxial anesthesia eg.coagulopathy
•o contraindication to NSAIDs (Dynastat and Celebrex in this study) for example history of heart failure, cerebrovascular disease, heart or coronary artery surgery, history of peptic ulcer, abnormality of liver enzyme, liver or renal failure, organ transplantation and coagulopathy.
•o chronic opioids use (definition : daily or almost opioids use for more than three months or morphine use more than 60 miligrams per day for more than 1 months) or diagnosed of neuropathic pain
•o unable to performed Time up and go test

发起方

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