Comparison of the Effects of Ultrasound-Guided Erector Spinae Plane Block and Adductor Canal Block on Postoperative Pain, Opioid Consumption and Quadriceps Muscle Strength in Total Knee Arthroplasty Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Post Operative Pain
- Sponsor
- Istanbul Medeniyet University
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Postoperative pain 48. hour
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
Total knee arthroplasty surgery is preferred in the treatment of osteoarthritis and causes severe postoperative pain. In this study, we aimed to investigate the effects of lumbar erector spina plan block and adductor canal block on postoperative pain and quadriceps muscle strength in patients who underwent total knee arthroplasty with spinal anesthesia.
Detailed Description
In a prospective, randomized study; Medeniyet University Faculty of Medicine Göztepe Prof. Dr. Forty patients who underwent total knee arthroplasty surgery at Süleyman Yalçın City Hospital were divided into two groups. After the surgery was completed, erector spina plane block was applied to Group E (n=20) patients with 20 ml of 0.25% bupivacaine from the operated side L3-L4 level, while in Group A (n=20) patients, in the area where the sartorius muscle crosses the adductor magnus muscle, it was lateral to the superficial femoral artery. Adductor canal block was applied to the adductor canal with 20 ml of 0.5% bupivacaine. All patients were administered 1 gr paracetamol and 75 mg diclofenac sodium when their pain started in the orthopedic ward. Numerical pain score and quadriceps muscle strength were evaluated during the 48-hour follow-up of the patients. When the pain score was 4 and above, 50 mg pethidine hydrochloride was administered.
Investigators
İnal Bensu Arıoglu
Medical Doctor
Istanbul Medeniyet University
Eligibility Criteria
Inclusion Criteria
- •patients who underwent total knee arthroplasty surgery
- •ASA I-III patients
Exclusion Criteria
- •Patients with coagulopathy
- •Patients history with local anesthetic allergy or toxicity
- •Patients with long hospital stay
- •Patients with advanced organ failure
- •Mental retarded patients
- •Presence of infection at the injection site
Outcomes
Primary Outcomes
Postoperative pain 48. hour
Time Frame: 48. hour
Visual anolog score (1-10)
Postoperative pain 1. hour
Time Frame: 1. hour
Visual anolog score (1-10)
Postoperative pain 30 minute
Time Frame: 30. min.
Visual anolog score (1-10)
Postoperative pain 2. hour
Time Frame: 2. hour
Visual anolog score (1-10)
Postoperative pain 6. hour
Time Frame: 6. hour
Visual anolog score (1-10)
Postoperative pain 12. hour
Time Frame: 12. hour
Visual anolog score (1-10)
Postoperative pain 24. hour
Time Frame: 24. hour
Visual anolog score (1-10)
Postoperative pain 36. hour
Time Frame: 36. hour
Visual anolog score (1-10)
Secondary Outcomes
- Opioid consuption 30. min.(30. min.)
- Opioid consuption 6. hour(6. hour)
- Opioid consuption 12. hour(12. hour)
- Opioid consuption 36. hour(36. hour)
- Opioid consuption 1. hour(1. hour)
- Opioid consuption 2. hour(2. hour)
- Opioid consuption 24. hour(24. hour)
- Opioid consuption 48. hour(48. hour)