Comparison of the Analgesic Efficacy of Adductor Canal Block Versus Adductor Canal Block Combined With Local Anesthetic Infiltration Between the Popliteal Artery and the Capsule of the Knee (IPACK) in Patients Undergoing Knee Surgery
Overview
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- TC Erciyes University
- Enrollment
- 60
- Locations
- 2
- Primary Endpoint
- opioid consumption
Overview
Brief Summary
To evaluate the effectiveness of Adductor Canal Block and combined Adductor Canal plus IPACK block in reducing postoperative pain and analgesic requirements in patients undergoing knee surgery.
Detailed Description
In total knee arthroplasty, ultrasound-guided Adductor canal block or Adductor Canal block combined with local anesthetic infiltration between the popliteal artery and the capsule of the knee (IPACK) will provide adequate postoperative analgesia.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Other
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •ASA (American Society of Anesthesiologists) I- ASA II-ASA III Patients
Exclusion Criteria
- •history of allergy to the study medication
- •refusal to participate
Arms & Interventions
Adductor canal block group(ACB)
Patients in the ACB group (Group I) will receive a single-shot adductor canal block under ultrasound guidance bupivacaine administered preoperatively.
Intervention: Adductor Canal Block Group (Group I) (Procedure)
Adductor canal + iPACK block group(ACB+IPACK)
Patients in the ACB + iPACK group (Group II) will receive a single-shot adductor canal block combined with an infiltration between the popliteal artery and the capsule of the knee (iPACK) under ultrasound guidance bupivacaine.
Intervention: Adductor Canal + iPACK Block Group (Group II)" (Procedure)
Outcomes
Primary Outcomes
opioid consumption
Time Frame: 24 hours after surgery
In the recovery room, all patients will given a patient- controlled analgesia device containing morphine 0.5 mg/ml, set to deliver a 1mg bolus dose of morphine with an 15 min lockout time and 4 mg 1 h limit.Total morphine consumption during the 24 hours postoperative period will recorded at 5 times intervals ( 2, 4, 6, 12, 24 hours).
Verbal analog Pain Scores on rest and movement
Time Frame: 24 hours after surgery
A Research assistant, blinded to the group allocation, interviewed patients and collected data at 5 times intervals ( 2, 4, 6, 12, 24, hours) in the 24 hours postoperatively. Patients were asked to rate their pain using verbal analog scale, where 0= no pain and 10= worst pain possible.
Secondary Outcomes
- incidences of adverse effects (like nausea and vomiting)(24 hours after surgery)
Investigators
Sibel Seçkin Pehlivan
Teaching Assistant
TC Erciyes University