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The Analgesic Efficacy of Ultrasound Guided Anterior Femoral Cutaneous Nerve Block (AFCNB) in Combination with Femoral Triangle Block (FTB) versus Adductor Canal Block (ACB) in Total Knee Arthroplasty (TKA).

Not Applicable
Conditions
Anaesthesia
Registration Number
PACTR202312753143536
Lead Sponsor
faculty of medicine ain shams university
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
60
Inclusion Criteria

a- Physical Status: ASA (American society of Anesthesiologists) I to III.
b- Both sexes.
c- Aged from forty to eighty years old.
d- Scheduled for elective primary total knee arthroplasty due to osteoarthritis under spinal anesthesia.

Exclusion Criteria

a)Patient`s refusal of the procedure or to participate in the study.
b)Patients with major spine deformities preclude spinal anesthesia.
c)Patients with bleeding disorders and/or coagulopathy.
d)Infection at the injection sites.
e)Known allergy to local anesthetics.
f)Patients with pre-existing myopathy or neuropathy.
g)Uncooperative patients with significant cognitive dysfunction or psychiatric illness.
h)Patients receiving any type of intraoperative periarticular infiltration (PAI) of local anesthetic by the surgeons.
i)Failed spinal anesthesia.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The primary outcome of the study is to compare the time of the postoperative first request of the rescue analgesic in case of certain pain severity assessed by VAS between the two groups.
Secondary Outcome Measures
NameTimeMethod
the total rescue opioids consumption, onset of ambulation, safety and complications of the used nerve blocks for the first 24 hours postoperatively.
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