Ultrasound-guided Continuous Adductor Canal Block for Analgesia After Total Knee Replacement: Comparison of Short-axis and Long-axis Techniques
Overview
- Phase
- Not Applicable
- Intervention
- ultrasound guided short axis placement of adductor canal catheter
- Conditions
- Total Knee Arthroplasty
- Sponsor
- Cui Xulei
- Enrollment
- 62
- Locations
- 1
- Primary Endpoint
- the strength of quadriceps femoris
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
This study compares the long-axis and short-axis technique of continues adductor canal block for total knee replacement surgery. Half participants will receive long-axis catheterization, while the other half will receive short-axis catheterization.
Investigators
Cui Xulei
Attending physician
Peking Union Medical College Hospital
Eligibility Criteria
Inclusion Criteria
- •18-80 years
- •Knee-arthroscopy
- •Written consent
- •ASA I-III
- •BMI 19-35
Exclusion Criteria
- •Unable to communicate with the investigators (e.g., a language barrier or a neuropsychiatric disorder).
- •coagulopathy or on anticoagulant medication
- •Allergic reactions toward drugs used in the trial
- •History of substance abuse
- •Infection at injection site
- •Can not be mobilised to 5 meters of walk pre-surgery
Arms & Interventions
short axis (SAX) placement of adductor canal catheters
Procedure: Ultrasound guided short axis (SAX) placement of adductor canal catheters Philip CX50 ultrasound scanner guided insertion of a PAJUNK Contiplex S catheter along the short axis of the middle part of adductor canal
Intervention: ultrasound guided short axis placement of adductor canal catheter
short axis (SAX) placement of adductor canal catheters
Procedure: Ultrasound guided short axis (SAX) placement of adductor canal catheters Philip CX50 ultrasound scanner guided insertion of a PAJUNK Contiplex S catheter along the short axis of the middle part of adductor canal
Intervention: Philip CX 50 Ultrasound Scanner
short axis (SAX) placement of adductor canal catheters
Procedure: Ultrasound guided short axis (SAX) placement of adductor canal catheters Philip CX50 ultrasound scanner guided insertion of a PAJUNK Contiplex S catheter along the short axis of the middle part of adductor canal
Intervention: PAJUNK Contiplex S Catheter
short axis (SAX) placement of adductor canal catheters
Procedure: Ultrasound guided short axis (SAX) placement of adductor canal catheters Philip CX50 ultrasound scanner guided insertion of a PAJUNK Contiplex S catheter along the short axis of the middle part of adductor canal
Intervention: Ropivocaine
short axis (SAX) placement of adductor canal catheters
Procedure: Ultrasound guided short axis (SAX) placement of adductor canal catheters Philip CX50 ultrasound scanner guided insertion of a PAJUNK Contiplex S catheter along the short axis of the middle part of adductor canal
Intervention: rescue sulfentanil given postoperatively as PICA
long axis (LAX) placement of adductor canal catheters
Procedure: Ultrasound guided long axis (LAX) placement of adductor canal catheters Philip CX50 ultrasound scanner guided insertion of a catheter along the long axis of the middle part of adductor canal
Intervention: ultrasound guided long axis placement of adductor canal catheter
long axis (LAX) placement of adductor canal catheters
Procedure: Ultrasound guided long axis (LAX) placement of adductor canal catheters Philip CX50 ultrasound scanner guided insertion of a catheter along the long axis of the middle part of adductor canal
Intervention: Philip CX 50 Ultrasound Scanner
long axis (LAX) placement of adductor canal catheters
Procedure: Ultrasound guided long axis (LAX) placement of adductor canal catheters Philip CX50 ultrasound scanner guided insertion of a catheter along the long axis of the middle part of adductor canal
Intervention: PAJUNK Contiplex S Catheter
long axis (LAX) placement of adductor canal catheters
Procedure: Ultrasound guided long axis (LAX) placement of adductor canal catheters Philip CX50 ultrasound scanner guided insertion of a catheter along the long axis of the middle part of adductor canal
Intervention: Ropivocaine
long axis (LAX) placement of adductor canal catheters
Procedure: Ultrasound guided long axis (LAX) placement of adductor canal catheters Philip CX50 ultrasound scanner guided insertion of a catheter along the long axis of the middle part of adductor canal
Intervention: rescue sulfentanil given postoperatively as PICA
Outcomes
Primary Outcomes
the strength of quadriceps femoris
Time Frame: within 48hours after surgery
strength of quadriceps femoris measured on a Lovett muscle strength rating-scale within 48 hours after surgery
Secondary Outcomes
- ambulation time(within the 7 days after surgery)
- the strength of quadriceps femoris(0,2,4,8,24,48 hours postoperative)
- Pain-score (VAS), motion pain(0,2,4,8,24,48 hours postoperative)
- postoperative nausea and vomiting score(0-2, 2-4, 4-8, 8-24, 24-48 hours postoperative)
- quality of recovery(3days and 7days after surgery)
- complications(within the 7 days after surgery)
- Pain-score (VAS), patient at rest(0,2,4,8,24,48 hours postoperative)
- sulfentanil consumption(0,2,4,8,24,48 hours postoperative)