“ADDUCTOR CANAL BLOCK FOR POSTOPERATIVE ANALGESIA AFTER SIMULTANEOUS UNILATERAL TOTAL KNEE REPLACEMENT; A COMPARATIVE EVALUATION OF NALBUPHINE AS AN ADJUVANT TO ROPIVACAINEâ€
试验速览
- 阶段
- 4 期
- 状态
- 已完成
- 发起方
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- To study the duration of postoperative analgesia after Adductor Canal Block performed.
研究概览
简要总结
Total knee replacement (TKR) is one of the commonly performed surgeries in modern orthopedics and agreeably associated with severe postoperative pain if untreated. The aim of anesthesia in such cases is to provide adequate analgesia without motor weakness so that early ambulation can be promoted and shorter hospital stay.
Since ages combined spinal epidural anesthesia remained the mainstay for TKR. However epidural analgesia for postoperative analgesia has its own demerits such as catheter related issues and side effects of opioids. The use of systemic opioids and NSAIDs especially in elderly warranted.
The recent success of adductor canal block (ACB) in providing excellent postoperative analgesia, along with prospects of early ambulation is very promising. with the advent of ultrasonography (USG). adductor canal block can be administered with a high success rate. Adductor canal block has been used successfully used for postoperative analgesia. Need for rescue analgesics in form of opioid can be significantly reduced.
The present study will be done to compare the duration of analgesia of adductor canal block using ropivacaine with nalbuphine as adjuvant after total knee replacement
研究设计
- 研究类型
- Interventional
- 分配方式
- Random Number Table
- 盲法
- Participant and Investigator Blinded
入排标准
- 年龄范围
- 35.00 Year(s) 至 65.00 Year(s)（—）
- 性别
- All
入选标准
- •1.Patient scheduled for elective Total knee replacement surgery with American society of anaesthsiologist (ASA) physical status grade 1 and 2 2.patient willing to give informed consent 3.patient with Age between 35 to 65 years.
排除标准
- •1.patient with severe chronic obstructive pulmonary disease 2.Coagulation disorders 3.known allergy to any of the study drugs 4.Local infection 5.focal neurological deficit in lower limb.
结局指标
主要结局
To study the duration of postoperative analgesia after Adductor Canal Block performed.
时间窗: In the Immediate Postoperative period
次要结局
- Time of ambulation in two groups(Haemodynamic stability)