Comparison of the Combination of Popliteal Sciatic and Femoral Block With the Combination of Ipack Adductor Canal Block Duration in Elective Knee Surgeries
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 93
- 试验地点
- 1
- 主要终点
- postoperative first mobilization time
研究概览
简要总结
Comparison of the combination of popliteal sciatic and femoral block with the combination of ipack adductor canal blocks and mobilization and analgesia duration in elective knee surgeries
详细描述
There is concern that about half of patients with elective knee surgery report severe knee pain immediately after surgery. Optimal postoperative knee analgesia is important not only for patient comfort and satisfaction, but also to accelerate mobilization, functional recovery, and hospital discharge. To facilitate earlier ambulation and provide superior pain control, while striving for shorter hospital stays and same-day discharge for patients There is an increasing emphasis on multimodal analgesia and motor sparing regional anesthesia blocks.
To compare the postoperative analgesic efficacy of ipack adductor canal and femoral popliteal sciatic blocks in elective knee surgeries, and the first mobilization (bromage 0) times of motor block after spinal anesthesia. Our primary aim is to compare the ipack adductor canal block added after spinal anesthesia in elective knee surgeries with the combination of femoral + popliteal sciatic block. post of blocks To evaluate the operative mobilization (bromage 0) and analgesia times. Our secondary aims are to evaluate the first 4, 8, 12, 24 hours VAS (visual analog scale) values, first analgesia time, post op 1 hour bromage scores, postoperative nausea, vomiting, and discharge times, side effects. compare the incidence of effects.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •knee operation,
排除标准
- •Patients who did not consent to the procedure, those with coagulopathy, a known allergy to local anesthetics, a BMI > 35 kg/m², chronic analgesic and opioid use, mental or psychiatric disorders, or inability -
结局指标
主要结局
postoperative first mobilization time
时间窗: 24 hour
After receiving spinal anesthesia, patients undergoing elective knee surgery were taken to the operating room. Postoperatively, patients were randomly assigned into two groups using a closed-envelope method. In the first group, patients in the supine position received an adductor canal block with 20 ml of 0.025% bupivacaine and an IPACK block with an additional 20 ml of 0.025% bupivacaine. In the second group, patients in the supine position received a femoral nerve block with 20 ml of 0.025% bupivacaine and a sciatic nerve block administered via the popliteal region with an additional 20 ml of 0.025% bupivacaine. Motor block, analgesia, and mobilization times were assessed at the 2nd, 4th, 8th, and 24th hours postoperatively.In the postoperative period, patients' motor functions were assessed at specific intervals (e.g., at the 2nd, 4th, 8th, 12th and 24th hours) using the Bromage Scale. During each assessment, patients were asked to move their hip, knee, and ankle joints.
次要结局
- Numerical Rating Scale (NRS) Scores(24 hour)
研究者
Döndü Genc Moralar
associate professor
Gaziosmanpasa Research and Education Hospital