Comparison of Genicular Nerve Block and Intraarticular Injection for Postoperative Pain in Knee Arthroscopy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 66
- 试验地点
- 2
- 主要终点
- first time of rescue analgesia
研究概览
简要总结
This prospective double-blinded randomized study will be conducted to compare ultrasound-guided intra-articular injection and ultrasound-guided genicular nerve block for postoperative analgesia after knee arthroscopy.
详细描述
Arthroscopic knee surgery has become increasingly popular in modern orthopedics. Post-operative knee pain management has become a challenge to provide early relief and pain-free postoperative care to the patient.
Pain management has become a priority for management as a daycare procedure. Patients operated as a daycare procedure should have minimal postoperative pain which influences the timing of discharge. Pain is due to multifactorial causes such as irritation of free nerve endings of the joint capsule, synovial tissue, anterior fat pad.
Effective pain relief allows the patients to obtain early knee mobilization and optimal rehabilitation and thus improves patient satisfaction.
Postoperative pain after knee arthroscopy is commonly moderate to severe and can affect the patient's activity level and satisfaction.
In an effort to provide safe, effective, and long-lasting post-arthroscopy pain relief, many drug regimens were injected intra-articularly including local anesthetics alone or with additive drugs to prolong and improve the quality of postoperative analgesia.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 50 Years(Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •scheduled for unilateral knee arthroscopy surgery (ligament reconstruction, cartilage procedures, and diagnostic arthroscopic procedures)
- •aged between 18 and 50 years
- •of both genders,
- •have ASA physical status I and II.
排除标准
- •Revision knee arthroscopy,
- •previous surgery or trauma to the knee,
- •drug allergy,
- •regular narcotic use,
- •renal &/ or hepatic impairments,
- •neuromuscular diseases
- •and coagulopathy disorders.
结局指标
主要结局
first time of rescue analgesia
时间窗: postoperative first day
first time of rescue morphine analgesia
次要结局
- Total doses of postoperative morphine consumption(postoperative first day)
- Number of patients received rescue analgesia.(postoperative first day)
研究者
tarek abdel hay mostafa
principle investigator
Tanta University
