Genicular Nerve Block Versus Its Combination With Infiltration Between Popliteal Artery and Capsule of Posterior Knee for Enhanced Recovery After Total Knee Arthroplasty
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Zagazig University
- Enrollment
- 63
- Locations
- 1
- Primary Endpoint
- 2 hours visual analogue scale
Study Overview
Brief Summary
Comparison of the analgesic and physical recovery effect of genicular nerve block (GNB) alone and (GNB + infiltration between popliteal artery and posterior capsule of the knee (IPACK) in patients undergoing total knee replacement
Detailed Description
Comparison of preemptive analgesia of (GNB) with (GNB+ IPACK) on postoperative pain control and recovery of knee physical activity in patient undergoing total knee replacement.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 21 Years to 60 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Arms & Interventions
C group
the patients will take standard analgesia ( meloxicam (15 mg) once a day + paracetamol 1gm /3 times a day). ,with no nerve block
Intervention: standard analgesia (paracetamol and meloxicam) (Drug)
G group
the patients will take standard analgesia plus GNB
Intervention: GNB plus standard analgesia (Procedure)
G group
the patients will take standard analgesia plus GNB
Intervention: standard analgesia (paracetamol and meloxicam) (Drug)
GI group
the patients will take standard analgesia plus GNB plus IPACK
Intervention: GNB plus IPACK block plus standard analgesia (Procedure)
GI group
the patients will take standard analgesia plus GNB plus IPACK
Intervention: standard analgesia (paracetamol and meloxicam) (Drug)
Outcomes
Primary Outcomes
2 hours visual analogue scale
Time Frame: at 2 hour postoperative.
pain intensity at rest and with motion using visual analogue scale from " horizontal line of 10-cm long with two ends, one end indicate no pain 0 and the other end indicate worst pain 10".
4 hours visual analogue score
Time Frame: at 4 hours postoperative
pain intensity at rest and with motion using visual analogue scale from " horizontal line of 10-cm long with two ends, one end indicate no pain 0 and the other end indicate worst pain 10".
8 hours visual analogue score
Time Frame: at 8 hours postopertaive
pain intensity at rest and with motion using visual analogue scale from " horizontal line of 10-cm long with two ends, one end indicate no pain 0 and the other end indicate worst pain 10".
18 hours visual analogue score
Time Frame: at 18 hours postoperative
pain intensity at rest and with motion using visual analogue scale from " horizontal line of 10-cm long with two ends, one end indicate no pain 0 and the other end indicate worst pain 10".
24 hours visual analogue score
Time Frame: at 24 hours postoperative
pain intensity at rest and with motion using visual analogue scale from " horizontal line of 10-cm long with two ends, one end indicate no pain 0 and the other end indicate worst pain 10".
6 hours visual analogue score
Time Frame: at 6 hours postoperative
pain intensity at rest and with motion using visual analogue scale from " horizontal line of 10-cm long with two ends, one end indicate no pain 0 and the other end indicate worst pain 10".
12 hours visual analogue score
Time Frame: at 12 hours postoperative
pain intensity at rest and with motion using visual analogue scale from " horizontal line of 10-cm long with two ends, one end indicate no pain 0 and the other end indicate worst pain 10".
Secondary Outcomes
- • Total morphine consumption(at 24 hours post-operatively)
- degree of maximum active flexion and extension of the knee(at 24 hours post operative)
- walk test(at 24 hours post operative)
- holding quadriceps muscle(at 24 hours post operative)
- • Time of performance of block(from putting of U.S probe till the end of block procedure)
- •incidence of Anticipated side effect(at 24,48 hours postoperative)
- time up and go (TUG)(at 24 hours post operative)
Investigators
Heba M Fathi
Dr. Heba M Fathi
Zagazig University