A Randomized Controlled Trial Comparing Dual Subsartorial Block and Adductor Canal Block for Pain Control in Ambulatory Arthroscopic Knee Surgery

Phase 3

• Conditions: Anterior Cruciate Ligament InjuriesMeniscus TearAdductor Canal BlockPain Control; Anterior Cruciate Ligament Injuries; Meniscus Tear; Adductor Canal Block; Pain Control

• Registration Number: TCTR20240319003
• Lead Sponsor: ADepartment of Anesthesiology, Faculty of Medicine Ramathibodi Hospital, Mahidol University

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2024-03-19
• Last Update Posted: 19 August 2024
• Study Completion: 2024-10-31

Recruitment & Eligibility

• Status: Pending (Not yet recruiting)
• Sex: All
• Target Recruitment: 54

Inclusion Criteria

Patients aged between 25 and 55 years.
Bodyweight > 40 kg
BMI between 18 - 35 kg/m
ASA physical status of I or II
Written informed consent obtained from the patients, stating I appreciate the opportunity to participate in this study, along with their signature.

Exclusion Criteria

Adults who are unable to provide their own consent.
Pre-existing lower extremities weakness
Patients who show signs of infection at the site of the block
BMI>35kg/m2
Allergy or contraindication to any drug used in this study
Coagulopathy (assessed through medical history and physical examination, and if clinically necessary, through blood tests, e.g., platelet count =< 100,000 cells/mm3, INR >= 1.4)
Chronic pain syndromes requiring the use of chronic opioids
History of kidney impairment (estimated GFR < 60ml/min)
History of liver dysfunction (history of cirrhosis, portal hypertension or variceal bleeding, AST, ALT >= 50 IU/L)
Pregnancy
Refusal to participate or withdrawal of consent at any stage of the study

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Pain intensity immediate after surgery The numerical rating scale (NRS) score

Secondary Outcome Measures

Name	Time	Method
Pain intensity before discharge and 24 hours post-operatively by phone The numerical rating scale (NRS) score,Opioid consumption during surgery and after surgery, before discharge The total amount of morphine milligram equivalent (MME),Time to first opioid request immediately after the block performance until discharge Duration from the end of the block performance to the time at which point the first dose of rescue opioid is requested,Quadriceps strength before discharge at the ambulatory surgical unit Muscle strength grading of quadriceps as follows; 0: no movement, 1: flicker of movement, 2 : movement without gravity, 3: movement against gravity, 4: against weak resistance, 5: normal power,Patient satisfaction assessed by five-point Likert scale 24 hours post-operatively by phone Satisfaction assessed using a five-point Likert scale ranging from 1 (very dissatisfied) to 5 (very satisfied) at 24 hours