Comparison of Pain Relief Post Knee Arthroscopy Using IPACK + Adductor Canal Block vs. Adductor Canal Block Alone
- Conditions
- Postoperative Pain
- Interventions
- Procedure: Group A will receive adductor canal block after spinal anesthesia under a high-frequency ultrasound guidance in which the adductor canal is identified and 20 ml of 0.25% bupivacaine will be injectedProcedure: Group B will receive adductor canal block under ultrasound guide 20 ml bupivacaine 0.25% and IPACK block under direct visualization of ultrasound of 20 ml bupivacaine 0.25%
- Registration Number
- NCT06265441
- Lead Sponsor
- Ain Shams University
- Brief Summary
In this study, the invistigators aim to compare postoperative analgesia effectiveness between combined interspace between the popliteal artery and posterior capsule of the knee block (IPACK) and Adductor canal block vs. Adductor canal block alone after Arthroscopic knee surgeries focusing on VAS score assessment at 8 hours postoperative.
- Detailed Description
Patients who fulfilled the inclusion criteria and agreed to participate in the study will be randomly divided into two groups using their computer-generated random numbers such that even numbers will be enrolled in group A for Adductor canal block alone and odd numbers will be enrolled in group B for Adductor canal block and IPACK block.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 40
- Physical status: ASA 1 or 2 and candidates for spinal anesthesia undergoing Arthroscopic knee surgery.
- Age group: 20-40 years.
- No sex predilection.
- Patient refusal
- Physical status: ASA III or above.
- Patients with contraindications for spinal anaesthesia.
- Patients with history of drug allergies to study drugs.
- Evidence of local infection at site of injection.
- Neuromuscular pathology (example: - Multiple Sclerosis)
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Group A : Adductor canal block only Group A will receive adductor canal block after spinal anesthesia under a high-frequency ultrasound guidance in which the adductor canal is identified and 20 ml of 0.25% bupivacaine will be injected Patients will receive Adductor canal block under ultrasound guide of 20 ml bupivacaine 0.25% Group B : Adductor canal + IPACK block Group B will receive adductor canal block under ultrasound guide 20 ml bupivacaine 0.25% and IPACK block under direct visualization of ultrasound of 20 ml bupivacaine 0.25% Patients will receive Adductor canal block and IPACK block under ultrasound guidance with 20 ml bupivacaine 0.25% for each block
- Primary Outcome Measures
Name Time Method Assessment of pain using the visual analogue scale (VAS) at 2 hours, 4 hours, 6 hours, and 8 hours after the completion of the surgical procedure and skin closure. 8 hours Visual analogue scale (VAS) (scale 0-10, where 0 = no pain and 10 = worst imaginable pain). All the patients will have the VAS score explained and taught for self-assessment of pain at the time of enrolment for the study.
- Secondary Outcome Measures
Name Time Method The number of steps 24 hours ambulation distance assessed by the number of steps walked by the patient 24 hours after the surgery
Total pethidine consumption 24 hours Total pethidine consumption (in mg.) over 24-hour period post-operative
The time till first analgesic requirement as requested by patient The time (in hours) after finishing of ultrasound guided IPACK or Adductor canal blocks till the patient's requirement for first analgesia postoperative in ward. (All patients will receive intravenous pethidine (30mg) when VAS \> 4 at any time of assessment)
Trial Locations
- Locations (1)
Ain Shams University
🇪🇬Cairo, Abbassia, Egypt