Effects of Adductor canal block combined with infiltration between the popliteal artery and capsule of the knee on pain management compared with epidural analgesia for patients undergoing total knee arthroplasty a randomised controlled trial
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Armed Forces Medical College Pune
- Enrollment
- 78
- Locations
- 1
- Primary Endpoint
- to compare the visual analogue scale VAS of the patients at postoperative 8th hour during passive physical therapy movements
Overview
Brief Summary
Total knee arthroplasty is regarded as one of the most painful orthopaedic operations. Adequate pain relief is essential in the immediate postoperative period to enable ambulation, initiation of physiotherapy, prevention of postoperative complications. A variety of procedures are currently being employed to achieve the same including neuraxial anaesthesia and regional anaesthesia including Adductor canal block. However, ACB does not relieve posterior knee pain and hence the addition of IPACK block ( infiltration between popliteal artery and capsule of the knee) has shown promising results in providing significant posterior knee analgesia without affecting motor nerves resulting in better range of motion and ambulation compared to adductor canal block alone
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Masking
- None
Eligibility Criteria
- Ages
- 18.00 Year(s) to 90.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •ASA grade 1 to 3 body mass indexes between 18 to 40 kg/m2 fully oriented and cooperative.
Exclusion Criteria
- •refusal to participate any contraindication to neuraxial anaesthesia lower extremity neuropathy local anaesthetic allergy revision surgery advanced liver, heart, kidney failure inability to comprehend VAS score cognitive impairment.
Outcomes
Primary Outcomes
to compare the visual analogue scale VAS of the patients at postoperative 8th hour during passive physical therapy movements
Time Frame: VAS of the patients at postoperative 8th hour during passive physical therapy movements
Secondary Outcomes
- to compare VAS score of the patients at 1st postoperative day and 2nd postoperative day during active and passive physical therapy movements
Investigators
Manjot Multani
Armed forces medical college,