Investigation of the Effect of Proximal and Distal Adductor Canal Block on Pain Control and Functional Mobility in Total Knee Prosthesis Surgery Performed Under Spinal Anesthesia
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 78
- 试验地点
- 2
- 主要终点
- VISUAL ANALOGUE SCALE(VAS)
研究概览
简要总结
to investigate the effect of adductor canal block applied with two different approaches in the treatment of pain after TKA surgery on pain control and functional mobility.
详细描述
This prospective randomized trial is randomly divided into 3 groups using the method. Total knee arthroplasty is performed by the same surgical team.
is applied. The patients were divided into proximal ACB applied, distal ACB applied and control groups.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Medications for unilateral TKA surgery
- •Patients aged 18-85
排除标准
- •Patients under 18 years of age and over 85 years of age
- •Patients with ASA 4 and above
- •Patients with cognitive impairment
- •Patients with application site infection
- •Patients allergic to local anesthesia
- •Patients receiving anticoagulant therapy
- •Patients with bleeding diathesis
- •Patients with chronic opioid or substance use
- •Patients with insulin-dependent diabetes mellitus
- •patients with neuropathy
- •patients with hepatic or renal failure
- •Patients who do not accept the procedure to be applied
结局指标
主要结局
VISUAL ANALOGUE SCALE(VAS)
时间窗: POSTOPERATIVE 6, 12 AND 24 HOURS
VAS pain score was evaluated as "no pain" (score=0) and "worst pain" (score=10) and was divided into 3 groups according to the World Health Organization's pain intensity scale: score \<3 mild pain, 3-6 mild-moderate. degree pain and \>6 moderate-severe pain.
次要结局
- first mobilization time(within postoperative 24 hours)
- length of hospital stay(ONE WEEK)
- opioid use(within postoperative 24 hours)
研究者
Zeliha Alicikus
head of Anesthesia and reanimation
Umraniye Education and Research Hospital