Clinical Impact of IPACK Block Addition to Suprainguinal Fascia Iliaca Block

Completed

• Conditions: Analgesia; Pain Management; Acute Pain
• Interventions: Procedure: SIFIB (suprainguinal fascia iliaca block); Other: IPACK (Interspace between the popliteal artery and capsule of the posterior knee ); Device: Patient controlled anagesia device

• Registration Number: NCT06054945
• Lead Sponsor: Samsun University

Brief Summary

In our clinic, routine suprainguinal fascia iliaca block (SIFIB) has been administered for postoperative analgesia in patients undergoing knee arthroplasty. Recently, we have introduced the IPACK (Infiltration between the Popliteal Artery and Capsule of the Knee) block to this regimen, and the aim of this retrospective study is to determine whether the addition of the IPACK block enhances the quality of analgesia.

Knee arthroplasty, also known as knee joint replacement surgery, is a common procedure performed to alleviate pain and improve joint function in patients with knee osteoarthritis or other knee-related conditions. Postoperative pain management is crucial for patient comfort and overall recovery.

In this study, we aimed to compare the two techniques mentioned earlier, namely the SIFIB (Suprainguinal Fascia Iliaca Block) and the SIFIB+IPACK, by examining the data of patients who underwent knee arthroplasty under spinal anesthesia at our clinic between January 1, 2023, and September 1, 2023.

Detailed Description

Not available

Study Timeline

• Status Verified: 2023-09
• Study Start: 2023-09-03
• Primary Completion: 2023-09-15
• Study Completion: 2023-09-15
• Study First Submitted: 2023-09-15
• Study First Submitted QC: 2023-09-22
• Study First Posted: 2023-09-26
• Last Update Submitted: 2023-09-27
• Last Update Posted: 2023-09-29

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 88

Inclusion Criteria

• Patients meeting the following criteria and whose postoperative follow-up forms were completed in full were included in the study
• Patients underwent total knee arthroplasty (TKA)
• ASA class I to III.
• operated under spinal anesthesia
• patient controlled analjgesia device was used for analgesia

Exclusion Criteria

Patients whose data were inaccessible or had incomplete follow-up forms were excluded from the study to ensure the accuracy and reliability of our analysis.

• PCA device problems in follow up in 24 hours
• anesthesia plans were converted to general anesthesia
• spinal anesthesia failure
• peripheral blocks used other than protocol

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
SIFIB+IPACK	SIFIB (suprainguinal fascia iliaca block)	Patients who underwent SIFIB+IPACK blocks in knee arthroplasty patients under spinal anesthesia will be evaluated retrospectively in terms of opioid consumption and NRS scores.
SIFIB+IPACK	Patient controlled anagesia device	Patients who underwent SIFIB+IPACK blocks in knee arthroplasty patients under spinal anesthesia will be evaluated retrospectively in terms of opioid consumption and NRS scores.
SIFIB	Patient controlled anagesia device	Patients who underwent SIFIB in knee arthroplasty patients under spinal anesthesia will be evaluated retrospectively in terms of opioid consumption and NRS scores.
SIFIB+IPACK	IPACK (Interspace between the popliteal artery and capsule of the posterior knee )	Patients who underwent SIFIB+IPACK blocks in knee arthroplasty patients under spinal anesthesia will be evaluated retrospectively in terms of opioid consumption and NRS scores.
SIFIB	SIFIB (suprainguinal fascia iliaca block)	Patients who underwent SIFIB in knee arthroplasty patients under spinal anesthesia will be evaluated retrospectively in terms of opioid consumption and NRS scores.

Primary Outcome Measures

Name	Time	Method
Opioid consumption	24 hours	Opioid consumption via PCA device

Secondary Outcome Measures

Name	Time	Method
NRS scores	24 hours	NRS scores in different time frames. In a Numerical Rating Scale (NRS), patients are asked to circle the number between 0 and 10, that fits best to their pain intensity. Zero usually represents 'no pain at all' whereas the upper limit represents 'the worst pain ever possible'.

Trial Locations

Locations (1)

Samsun University; 🇹🇷 Samsun, Turkey