Ultrasound Guided Femoral Nerve Block Versus Adductor Canal Block by Using Bupivacaine and Magnesium Sulphate for Post-Operative Analgesia After Knee Arthroscopic Surgeries
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 90
- 试验地点
- 1
- 主要终点
- The total post-operative morphine consumption
研究概览
简要总结
Ultrasound Guided Femoral Nerve Block versus Adductor Canal Block by Using Bupivacaine and Magnesium Sulphate
详细描述
Ultrasound Guided Femoral Nerve Block versus Adductor Canal Block by Using Bupivacaine and Magnesium Sulphate for Post-Operative Analgesia after knee Arthroscopic Surgeries: A Randomized Controlled Study
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 21 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 21-60 years,
- •both sexes, American Society of Anesthesiologists classification I-II and - -patients scheduled for elective Knee arthroscopic surgeries under spinal anesthesia.
排除标准
- •Patient refusal.
- •Patients on chronic pain medications or have a history of substance abuse.
- •Patients who are unable to describe their postoperative pain (neuropsychiatric disorder).
- •Patients with a history of coagulopathy.
- •Patient with morbid obesity (body mass index ≥40 kg/m2).
- •Patients with known local anesthetics and opioid allergy.
- •Patients with infection at the site of the needle puncture.
- •Patients with major respiratory, cardiac, renal or hepatic disorders.
- •Patients on calcium channel blockers.
研究组 & 干预措施
Group I: control group
Group I: 30 Patients will receive the standard spinal anesthesia 12.5 mg (2.5 ml) of 0.5% hyperbaric bupivacaine with 25 µg of fentanyl (0.5 ml), with no intervention as a control group.
干预措施: Group I: control group (Procedure)
Group II: Ultrasound Guided Femoral Nerve Block
Group II: 30 Patients will receive the standard spinal anesthesia 12.5 mg (2.5 ml) of 0.5% hyperbaric bupivacaine with 25 µg of fentanyl (0.5 ml), then US guided FNB will be performed at the end of surgery, with 20 ml of 0.25% bupivacaine with 5 ml of magnesium sulfate 10% solution (500 mg) with total volume of 25 ml.
干预措施: Group II: Ultrasound Guided Femoral Nerve Block (Procedure)
Group III : Adductor Canal Block group
Group III: 30 Patients will receive the standard spinal anesthesia 12.5 mg (2.5 ml) of 0.5% hyperbaric bupivacaine with 25 µg of fentanyl (0.5 ml), then US guided ACB will be performed at the end of surgery, with 20 ml 0.25% bupivacaine with 5 ml of magnesium sulfate 10% solution (500 mg) with total volume of 25 ml.
干预措施: group III : Adductor Canal Block group (Procedure)
结局指标
主要结局
The total post-operative morphine consumption
时间窗: 24 hours postoperatively
次要结局
- Assessment of pain by Numeric Rating Scale(Immediately after discharge to the PACU and ward at 1hour, 3hour, 6hour, 12hour, 24 hours.)
研究者
Nourhan Aladdin Ali Khidr
Resident of Anesthesia, Surgical Intensive Care and Pain Management
Tanta University