Ultrasound-guided Continuous Adductor Canal Block for Analgesia After Total Knee Replacement: Comparison of Short-axis and Long-axis Techniques
Not Applicable
Completed
- Conditions
- AnalgesiaTotal Knee ArthroplastyNerve Block
- Interventions
- Procedure: ultrasound guided short axis placement of adductor canal catheterProcedure: ultrasound guided long axis placement of adductor canal catheterDevice: Philip CX 50 Ultrasound ScannerDevice: PAJUNK Contiplex S CatheterDrug: RopivocaineDrug: rescue sulfentanil given postoperatively as PICA
- Registration Number
- NCT02799797
- Lead Sponsor
- Cui Xulei
- 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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 62
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
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description short axis (SAX) placement of adductor canal catheters ultrasound guided short axis placement of adductor canal catheter 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 short axis (SAX) placement of adductor canal catheters Philip CX 50 Ultrasound Scanner 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 long axis (LAX) placement of adductor canal catheters Philip CX 50 Ultrasound Scanner 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 short axis (SAX) placement of adductor canal catheters Ropivocaine 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 short axis (SAX) placement of adductor canal catheters PAJUNK Contiplex S Catheter 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 long axis (LAX) placement of adductor canal catheters rescue sulfentanil given postoperatively as PICA 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 short axis (SAX) placement of adductor canal catheters rescue sulfentanil given postoperatively as PICA 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 long axis (LAX) placement of adductor canal catheters PAJUNK Contiplex S Catheter 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 long axis (LAX) placement of adductor canal catheters Ropivocaine 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 long axis (LAX) placement of adductor canal catheters ultrasound guided long axis placement of adductor canal catheter 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
- Primary Outcome Measures
Name Time Method the strength of quadriceps femoris within 48hours after surgery strength of quadriceps femoris measured on a Lovett muscle strength rating-scale within 48 hours after surgery
- Secondary Outcome Measures
Name Time Method ambulation time within the 7 days after surgery SAX-group vs. LAX-group
the strength of quadriceps femoris 0,2,4,8,24,48 hours postoperative SAX-group vs. LAX-group
Pain-score (VAS), motion pain 0,2,4,8,24,48 hours postoperative Pain-score measured on a Visual Analog Scale (VAS) .SAX-group vs. LAX-group
postoperative nausea and vomiting score 0-2, 2-4, 4-8, 8-24, 24-48 hours postoperative Rating-scale 0-3 SAX-group vs. LAX-group
quality of recovery 3days and 7days after surgery use the self-assessment 11item QoR scale to assess the patient's recovery quality,SAX-group vs. LAX-group
complications within the 7 days after surgery Record complications including catheter dislodgment, puncture point infection, leakage,falling down,et al.
Pain-score (VAS), patient at rest 0,2,4,8,24,48 hours postoperative Pain-score measured on a Visual Analog Scale (VAS) .SAX-group vs. LAX-group
sulfentanil consumption 0,2,4,8,24,48 hours postoperative record the amount（ml) of sulfentanil used
Trial Locations
- Locations (1)
Xulei CUI
🇨🇳Beijing, Beijing, China