Ultrasound-guided Continuous Adductor Canal Block for Analgesia After Total Knee Replacement: Comparison of Short-axis and Long-axis Techniques
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 62
- 试验地点
- 1
- 主要终点
- the strength of quadriceps femoris
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Triple (Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •18-80 years
- •Knee-arthroscopy
- •Written consent
- •ASA I-III
- •BMI 19-35
排除标准
- •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
研究组 & 干预措施
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
干预措施: ultrasound guided short axis placement of adductor canal catheter (Procedure)
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
干预措施: Philip CX 50 Ultrasound Scanner (Device)
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
干预措施: PAJUNK Contiplex S Catheter (Device)
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
干预措施: Ropivocaine (Drug)
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
干预措施: rescue sulfentanil given postoperatively as PICA (Drug)
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
干预措施: ultrasound guided long axis placement of adductor canal catheter (Procedure)
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
干预措施: Philip CX 50 Ultrasound Scanner (Device)
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
干预措施: PAJUNK Contiplex S Catheter (Device)
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
干预措施: Ropivocaine (Drug)
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
干预措施: rescue sulfentanil given postoperatively as PICA (Drug)
结局指标
主要结局
the strength of quadriceps femoris
时间窗: within 48hours after surgery
strength of quadriceps femoris measured on a Lovett muscle strength rating-scale within 48 hours after surgery
次要结局
- 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)
研究者
Cui Xulei
Attending physician
Peking Union Medical College Hospital