Erector Spinae Plane Block vs. iPACK Block With Adductor Canal Block for Total Knee Arthroplasty
Overview
- Phase
- Phase 4
- Status
- Recruiting
- Sponsor
- Poznan University of Medical Sciences
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Opioid consumption
Overview
Brief Summary
Effect of Erector Spinae Plane Block and iPACK block with Adductor Canal Block on pain management, and NLR and PLR following knee arthroplasty
Detailed Description
Knee arthroplasty is one of the most common orthopedic procedures, especially in elderly patients, due to the deformation of joints. Patients may complain of severe pain due to surgical trauma and prosthesis. Regional anesthesia methods may be performed to reduce the inflammatory response, opioid consumption, and opioid-related side effects.
In recent years, the influence of regional anesthesiology on reducing the inflammatory response after surgical procedures has been emphasized. However, very few studies have evaluated the effect of various methods of anesthesia on the NLR.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Triple (Participant, Care Provider, Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 100 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients with ASA classification I-III,
- •Aged 20-100 years,
- •scheduled for knee arthroplasty under spinal anaesthesia
Exclusion Criteria
- •Patients who have a history of bleeding diathesis,
- •Take anticoagulant therapy,
- •have a History of chronic pain before surgery,
- •have Multiple trauma,
- •cannot assess their pain (dementia),
- •have been operated on under general anaesthesia,
- •have an infection in the area
- •do not accept the procedure
Arms & Interventions
Placebo
Only spinal anaesthesia - No peripheral nerve block
Intervention: Control Test - spinal anesthesia (Drug)
Erector Spinae Plane Block
spinal anaesthesia and unilateral ultrasound guided erector spinae plane block - 20ml 0.2% ropivacaine
Intervention: Ropivacaine 0.2% Injectable Solution ESPB (Drug)
Infiltration Popliteal Artery and Capsule of the Knee and Adductor Canal Block
spinal anaesthesia and ultrasound guided Infiltration of local anesthetic between the Popliteal Artery and Capsule of the Knee (iPACK) block - 20ml 0.2% ropivacaine
- ultrasound guided Adductor Canal Block - 10ml 0.2% ropivacaine
Intervention: Ropivacaine 0.2% Injectable Solution iPACK+ACB (Drug)
Outcomes
Primary Outcomes
Opioid consumption
Time Frame: 48 hours
Total opiate consumption after surgery
Secondary Outcomes
- Numerical Rating Scale [range 0:10](24 hours after surgery)
- first need of opiate(48 hours)
- NLR(24 hours postoperatively)
- PLR(24 hours postoperatively)
- Quadriceps muscle strength assessed using medical research council scale [range 0:5](24 hours after surgery)