Comparison of the Postoperative Analgesic Efficacy of Ultrasound-Guided Fascia Iliaca Compartment Block With Combined IPACK and Genicular Nerve Block in Patients Undergoing Knee Surgery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- Postoperative Pain Intensity
研究概览
简要总结
This retrospective observational study compares the postoperative analgesic effectiveness of ultrasound-guided fascia iliaca compartment block (FICB) with combined IPACK and genicular nerve block (GNB) in patients undergoing knee surgery under spinal anesthesia. The study includes 70 patients treated between July 2022 and July 2024. Postoperative pain scores, tramadol consumption, time to first mobilization, motor block, need for rescue analgesia, complications, and patient satisfaction are evaluated during the first 24 hours after surgery.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 18-75 years American Society of Anesthesiologists (ASA) physical status I-III Written and verbal informed consent for participation Undergoing elective knee surgery Body mass index (BMI) between 18 and 30 kg/m² No contraindication to regional anesthesia
排除标准
- •Age <18 years or >75 years ASA physical status IV-V BMI >30 kg/m² Allergy to local anesthetics Emergency surgery Inability to cooperate Receiving treatment for chronic pain Known neuropsychiatric disease Contraindication to neuraxial anesthesia or peripheral nerve block, including infection at the injection site, coagulation disorder, or anticoagulant use Conversion to general anesthesia before completion of surgery Severe organ failure Inaccessible medical records or refusal to participate
研究组 & 干预措施
Fascia Iliaca Compartment Block Group
干预措施: Ultrasound-Guided Fascia Iliaca Compartment Block (Procedure)
Combined IPACK and Genicular Nerve Block Group
干预措施: Ultrasound-Guided Combined IPACK and Genicular Nerve Block (Procedure)
结局指标
主要结局
Postoperative Pain Intensity
时间窗: At postoperative 1, 6, 12, and 24 hours
Postoperative pain intensity was assessed using the Visual Analog Scale (VAS) at rest and during 45° knee flexion. VAS scores range from 0 to 10, with higher scores indicating greater pain intensity.
Total Postoperative Tramadol Consumption
时间窗: Within the first 24 hours after surgery
Total tramadol consumption during the first 24 postoperative hours was recorded in milligrams (mg) and compared between the two study groups.
次要结局
未报告次要终点
研究者
Elzem SEN
Assoc Prof
University of Gaziantep