COMPARISON OF PERIOPERATIVE ANALGESIC EFFECTIVENESS OF PATIENTS WHO HAD FASIA ILIAC COMPARTMENT BLOCK AND 4IN1 BLOCK APPLIED IN TOTAL KNEE PROSTHESIS SURGERY
- Conditions
- Pain, Postoperative
- Interventions
- Other: FICBOther: 4 in 1 block
- Registration Number
- NCT06436105
- Lead Sponsor
- Diskapi Yildirim Beyazit Education and Research Hospital
- Brief Summary
Patients who will undergo elective total knee arthroplasty surgery under spinal anesthesia will be included in the study according to the postoperative analgesia method applied: Group Control, Group FICB and Group 4in1. Peripheral nerve block will be performed with 30 ml %0.25 bupivacaine for Group FICB and Group 4 in 1 patients. Peripheral nerve block will not be performed on Group Control patients. Patient-controlled analgesia will be given to all three groups in the postoperative period. PCA is a pain palliation method routinely used in all patients postoperatively. NRS score, PCA tramadol consumption, PCA demand, need for additional analgesia, patient satisfaction, nausea and vomiting will be monitored 24 hours postoperatively. The aim of this study is to compare the perioperative analgesic effectiveness of patients who underwent fascia iliaca compartment block and 4 in 1 block in total knee arthroplasty surgery, with each other and with the control group.
- Detailed Description
Total knee arthroplasty is a surgical procedure performed mostly on patients with osteoarthritis who have failed traditional conservative treatment. Increasing knee osteoarthritis due to reasons such as life expectancy and body mass index causes this surgical procedure to be performed more frequently. The knee joint which is innervated by the femoral, obturator, sciatic nerves and their branches has a complicated innervation and the pain following total knee arthrplasty is quite severe. It is aimed to provide effective analgesia by blocking these nerves or terminal branches with various peripheral nerve blockade methods under USG guidance. In recent years, interest in studies aiming to block these nerves with a single injection has been increasing. 4 in 1 block is a new technique applied from a single injection point to block the saphenous, obturator, sciatic and vastus medialis nerves that innervate the knee joint. Fascia iliaca compartment block is a reliable technique applied from a single injection point to block the femoral, lateral femoral cutaneous and obturator nerves behind the fascia iliaca.
Patients who will undergo elective total knee arthroplasty surgery under spinal anesthesia will be included in the study according to the postoperative analgesia method applied: Group Control, Group FICB and Group 4in1. Peripheral nerve block will be performed with 30 ml %0.25 bupivacaine for Group FICB and Group 4 in 1 patients. Peripheral nerve block will not be performed on Group Control patients. Patient-controlled analgesia will be given to all three groups in the postoperative period. PCA is a pain palliation method routinely used in all patients postoperatively. NRS score, PCA tramadol consumption, PCA demand, need for additional analgesia, patient satisfaction, nausea and vomiting will be monitored 24 hours postoperatively. The aim of this study is to compare the perioperative analgesic effectiveness of patients who underwent fascia iliaca compartment block and 4 in 1 block in total knee arthroplasty surgery, with each other and with the control group.
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 60
- With informed consent
- Elective total knee arthroplasty with spinal anesthesia
- Oriented and cooperative
- ASA Classification I-II-III
- 18-85 years old
- Anticoagulant medication
- Coagulopathy
- Infection at the site of peripheral nerve block application
- Allergy to local anesthetics
- Pregnant or suspected pregnancy
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Group FICB FICB FICB will be performed with 30 ml %0.25 bupivacaine for Group FICB patients. Group 4 IN 1 4 in 1 block 4 in 1 block will be performed with 30 ml %0.25 bupivacaine for Group 4 IN 1 patients.
- Primary Outcome Measures
Name Time Method Total tramadol consumption in 24 hours (mg) 24 hours postoperatively Total tramadol consumption used in the first 24 hours postoperatively
- Secondary Outcome Measures
Name Time Method Pain on the Numeric Rating Scale (NRS) 24 hours postoperatively NRS range was from 0-10 with being no pain and 10 the worst pain possible.
Rescue Analgesic 24 hours postoperatively Consumption of rescue analgesic used after 24 hours postoperatively.
Patient satisfaction 24 hours postoperatively The patient is satisfied or dissatisfied
Trial Locations
- Locations (1)
Department of Anesthesiology and Reanimation, University of Health Sciences, Diskapi Yıldırım Beyazit Training and Research Hospital
🇹🇷Ankara, Turkey