Comparison of the Efficacy of Fascia Iliaca Compartment Block and IPACK Block for Postoperative Analgesia in Total Knee Arthroplasty Operation
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Arthropathy of Knee
- Sponsor
- Ankara Ataturk Sanatorium Training and Research Hospital
- Enrollment
- 120
- Locations
- 1
- Primary Endpoint
- Numerical Rating Scale (NRS)
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The investigators sought to compare the effectiveness of postoperative pain control between the standard intravenous multimodal analgesia procedure used in managing patients undergoing total knee surgery, who experience severe postoperative analgesia needs, and multimodal analgesia procedures that incorporate ultrasound-guided peripheral nerve blocks (Fascia Iliaca Compartment Block or iPACK Block) during postoperative follow-up. The aim is to determine which procedure is more effective.
Detailed Description
All patients who received a total knee replacement surgery conducted by orthopaedic surgeons at the operating theatre of Health Sciences University Ankara Atatürk Sanatorium Training and Research Hospital and underwent postoperative pain assessment by anaesthetists will be retrospectively reviewed as part of the study. Postoperative pain management follow-up for patients who have undergone surgical procedures at Anaesthesiology and Reanimation Clinic is standard practice during patients hospitalization. Patients who have undergone painful and significant surgical procedures are typically given postoperative patient-controlled analgesia devices and are administered intravenous painkillers that are under the patient's control. As part of multimodal analgesia procedure, the investigators apply peripheral nerve blocks routinely to eligible patients, provided that the necessary criteria are met. Once the postoperative Anesthesiology and Reanimation clinic's follow-up form, the regional anaesthesia follow-up form, is completed, patients receive coordinated follow-up care from anaesthesiologists and surgical physicians in postoperative ward to monitor analgesic requirements and increase patient satisfaction. Hourly monitoring ensures that patients receive optimal care. The aims of study to examine the effectiveness of these procedures. The investigators will include all patients who received elective total knee arthroplasty surgery in the operating room of Ankara Atatürk Sanatorium Training and Research Hospital within the past year (between 01 March 2022 and 31 March 2023) in retrospective file review and postoperative pain follow-up study.
Investigators
Onur Kucuk
Department of anesthesiology and reanimation, Principal Investigator, Specialist Doctor
Ankara Ataturk Sanatorium Training and Research Hospital
Eligibility Criteria
Inclusion Criteria
- •Patients who have undergone elective total knee surgery
- •ASA I-III patients
Exclusion Criteria
- •Those \<30 kg
- •People under 18 years of age
- •Patients with missing follow-up forms
- •Patients with a history of chronic opioid or corticosteroid use
- •Patients with a history of inflammatory gonathrosis
- •Patients with synovectomy operation history
Outcomes
Primary Outcomes
Numerical Rating Scale (NRS)
Time Frame: postoperative 24 hours score change
NRS was used to assess postoperative pain. The NRS is a segmented numerical version of the visual analog scale (VAS), in which the respondent chooses an integer (0-10 integer) that best reflects the intensity of his pain. It is considered a one-dimensional measure of pain intensity in adults. It is an 11-point numerical scale. It ranges from "0" representing no pain to "10" representing extreme pain.
Secondary Outcomes
- 5-point likert satisfaction scale(postoperative 24th hour)