Comparison of Perioperative Analgesic Efficacy of Femoral Nerve Block, Adductor Canal Block and 4in1 Block

Not Applicable

Recruiting

• Conditions: Block; Analgesia
• Interventions: Other: femoral nerve block; Other: 4in1 block; Other: adductor canal block

• Registration Number: NCT05643040
• Lead Sponsor: Diskapi Yildirim Beyazit Education and Research Hospital

Brief Summary

Central neuraxial and regional anesthesia and analgesia techniques significantly reduce perioperative morbidity and mortality in the knee and below-knee surgeries.Nerve blocks appear to have better analgesic efficacy compared to placebo or patient-controlled analgesia (PCA). In addition, opioid-related side effects such as postoperative nausea, vomiting, pruritus, sedation, and respiratory depression are less. Therefore, interest in regional blocks such as femoral, sciatic, adductor, combined femoral, and sciatic is increasing. The knee joint is innervated by various nerves (genicular nerves) from the femoral, obturator, and sciatic nerves, and a comprehensive but simple technique is needed for postoperative analgesia. Complete and comprehensive postoperative analgesia was possible with this block, a simple single injection technique. The aim of our study is to evaluate the intraoperative analgesia efficacy of femoral, adductor canal block, and 4in1 block in patients who will undergo knee surgery.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-09-01
• Study First Submitted: 2022-11-23
• Status Verified: 2022-12
• Study First Submitted QC: 2022-12-01
• Last Update Submitted: 2022-12-01
• Study First Posted: 2022-12-08
• Last Update Posted: 2022-12-08
• Primary Completion: 2023-02-01
• Study Completion: 2023-05-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• Patients between the ages of >18
• undergone knee surgery
• American Society of Anesthesiologists (ASA) classification I-III group.

Exclusion Criteria

• Patients who do not want to participate in the study coagulopathy peripheral neuropathy local anesthetic drug allergy chronic opioid users anticoagulant users pregnant patients

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
femoral nerve block	femoral nerve block	To evaluate the intraoperative analgesia effectiveness of femoral nerve block in patients who will have knee surgery.
4in1 block	4in1 block	To evaluate the intraoperative analgesia effectiveness of 4in1 block in patients who will have knee surgery.
adductor canal block	adductor canal block	To evaluate the intraoperative analgesia effectiveness of adductor canal block in patients who will have knee surgery.

Primary Outcome Measures

Name	Time	Method
intraoperative analgesia efficacy	perioperative period	The aim of our study is to evaluate the intraoperative analgesia efficacy of femoral, adductor canal block and 4in1 block in patients who will undergo knee surgery.

Secondary Outcome Measures

Name	Time	Method
postoperative analgesia efficacy	perioperative period	The aim of our study is to evaluate the postoperative analgesia efficacy of femoral, adductor canal block and 4in1 block in patients who will undergo knee surgery.

Trial Locations

Locations (1)

University of Medical Science, Yıldırım Beyazıt Training and Research Hospital; 🇹🇷 Ankara, Turkey