Comparison of Pain Relief Post Knee Arthroscopy Using IPACK + Adductor Canal Block vs. Adductor Canal Block Alone

Not Applicable

Completed

• Conditions: Postoperative Pain

• 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.

Study Timeline

• Status Verified: 2024-02
• Study First Submitted: 2024-02-07
• Study First Submitted QC: 2024-02-16
• Study First Posted: 2024-02-20
• Study Start: 2024-05-01
• Primary Completion: 2024-09-01
• Study Completion: 2024-10-01
• Last Update Submitted: 2024-11-04
• Last Update Posted: 2024-11-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• Physical status: ASA 1 or 2 and candidates for spinal anesthesia undergoing Arthroscopic knee surgery.
• Age group: 20-40 years.
• No sex predilection.

Exclusion Criteria

• 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

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