Ultrasound Guided Suprainguinal Fascia Iliaca Block vs. Periarticular Injection for Total Knee Arthroplasty: Prospective Randomized Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Analgesia
- Sponsor
- Ataturk University
- Enrollment
- 70
- Locations
- 1
- Primary Endpoint
- Postoperative opioid consumption
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
Total knee replacement (total knee arthroplasty) is performed to resurface a knee damaged by arthritis and relieve pain in patients with severely damaged knee joints.
Total knee arthroplasty (TKA) is associated with severe postoperative pain, and the management of postoperative pain continues to evolve with the advancement of surgical techniques and pharmacological treatments.
Femoral, lateral femoral cutaneous nerve and obturator nerve block is provided with suprainguinal fascia iliaca plan block, which is used for postoperative analgesia, especially in hip surgeries. In this way, the investigators think it can be used as a part of multimodal analgesia in total knee arthroplasty surgery.
Investigators
Elif Oral Ahiskalioglu
Principal Investigator
Ataturk University
Eligibility Criteria
Inclusion Criteria
- •American Society of Anesthesiologist's physiologic state I-III patients
- •Total knee arthroplasty
Exclusion Criteria
- •liver, kidney, and advanced heart failure,
- •routine use of analgesics and
- •having used analgesics in the last 24 hours,
- •having neuropathic pain,
- •refusal to participate in the study
Outcomes
Primary Outcomes
Postoperative opioid consumption
Time Frame: first 24 hours
First 24 hours total fentanyl consumption with patient controlled analgesia
Secondary Outcomes
- joint range of motion test (ROM)(at 24th hour)
- Visual analog pain score(first 48 hours)
- Five Time Sit to Stand Test (FTSST)(at 24th hour)
- timed up and go test (TUG)(at 24th hour)
- quadriceps muscle strength(at 24th hour)