Comparison Efficacy of Analgesic Techniques: Continuous Epidural Analgesia Versus Bilateral Single-shot Adductor Canal Blocks in Patients Undergoing Bilateral Total Knee Arthroplasty
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Osteo Arthritis Knee
- Sponsor
- Mahidol University
- Enrollment
- 70
- Locations
- 1
- Primary Endpoint
- pain scores at rests
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
This study evaluates postoperative analgesic efficacy within 48 hours between epidural analgesia and single-shot bilateral adductor canal blocks in bilateral total knee arthroplasty. Half of participants will be received continuous epidural analgesia, while other half of participants will be received single-shot bilateral adductor canal blocks.
Detailed Description
Continuous epidural analgesia is effective postoperative pain control but it has some limitations in patients with hypotension, concurrent anticoagulants, technical difficulty, urinary retention. Adductor canal block is less invasive than continuous epidural analgesia. It provides effective analgesia for total knee arthroplasty and preserves quadriceps muscle strength.
Investigators
Suwimon Tangwiwat
Assistant professor, Anesthesiology department, Faculty of Medicine Siriraj Hospital
Mahidol University
Eligibility Criteria
Inclusion Criteria
- •Aged more than 18 years old undergoing bilateral total knee arthroplasty
- •American Society of Anesthesiologists physical status classification 1-3
Exclusion Criteria
- •Participants deny to enroll the study
- •Allergy to bupivacaine
- •Weight less than 50 kilograms
- •Hepatic disease
- •Contraincation for neuraxial block or adductor canal block
- •Uncontrolled cardiovascular disease
- •Creatinine clearance less than 50 ml/min
Outcomes
Primary Outcomes
pain scores at rests
Time Frame: 48 hours postoperatively
numerical rating scales
Secondary Outcomes
- morphine consumptions(48 hours postoperatively)
- pain scores on movement(48 hours postoperatively)
- side effects of interventions(48 hours postoperatively)