Comparison of Postoperative Analgesic Efficacy of Adductor Canal Block With IPACK Versus Adductor Canal and Popliteal Sciatic Nerve Block in Patients Undergoing Arthroscopic Anterior Cruciate Ligament Reconstruction
Overview
- Phase
- Phase 3
- Intervention
- Ropivacaine injection
- Conditions
- Anterior Cruciate Ligament Tear
- Sponsor
- Sujana Dontukurthy
- Enrollment
- 7
- Locations
- 1
- Primary Endpoint
- Average Post-operative Pain Score
- Status
- Terminated
- Last Updated
- 4 years ago
Overview
Brief Summary
This is a prospective study comparing femoral nerve block plus sciatic nerve block to femoral nerve block plus infiltration of the posterior knee capsule (IPACK) in patients undergoing arthroscopic anterior cruciate ligament reconstruction. Femoral nerve block via the adductor canal (FNB-AC) with IPACK may provide effective analgesia while avoiding the motor block involved with sciatic nerve block. The lack of motor block is important to facilitate postoperative ambulation and physical therapy.
Investigators
Sujana Dontukurthy
Clinical Assistant Professor of Anesthesiology
Nationwide Children's Hospital
Eligibility Criteria
Inclusion Criteria
- •Patients less than 21 years of age
- •American Society of Anesthesiologists physical status I and II
- •Undergoing elective anterior cruciate ligament reconstruction
Exclusion Criteria
- •They are unable or unwilling to take part in the study
- •History of allergy to any of the medications administered for the nerve block
- •Contraindication to peripheral nerve block
- •Patients who are unable to understand instructions or questions related to the study or the families required language interpretation
- •Patients who consume opioid medications for more than three days per week for more than a month prior to surgery
Arms & Interventions
FNB-AC + Sciatic nerve block
Patients will receive up to 20 mL of 0.2% ropivacaine for FNB-AC and up to 20 mL of 0.2% ropivacaine for sciatic nerve block under ultrasound guidance.
Intervention: Ropivacaine injection
FNB-AC + IPACK
Patients will receive up to 20 mL of 0.2% ropivacaine for FNB-AC and up to 20 mL of 0.2% ropivacaine for posterior knee capsular infiltration under ultrasound guidance (IPACK)
Intervention: Ropivacaine injection
Outcomes
Primary Outcomes
Average Post-operative Pain Score
Time Frame: Immediately post-operatively and up to 48 hours post-discharge, an average of 48 hours
Visual Analogue Scale (VAS) pain scores (0 being no pain and 10 being worst pain) from arrival to post-anesthesia care unit (PACU) to 48 hours after discharge from surgery center.
Secondary Outcomes
- Number of Opioid Doses Administered(Intra-operative and up to 48 hours post-discharge, an average of 48 hours)