Comparison Between Ipack Block and Periarticular Infiltration in Total Knee Arthroplasty - a Randomized Control Trial
Overview
- Phase
- Phase 4
- Intervention
- Ipack
- Conditions
- Osteo Arthritis Knee
- Sponsor
- Icahn School of Medicine at Mount Sinai
- Enrollment
- 99
- Locations
- 1
- Primary Endpoint
- Narcotic Consumption
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
Total knee arthroplasty(TKA) is an effective modality for the treatment of advanced osteoarthritis of the knee joint with excellent outcomes. With 719,000 cases being performed as of 2010, the incidence is expected to increase up to 3.48 million procedures annually by 2030.
Detailed Description
There have been several studies regarding efficacy of peri articular infiltration. IPACK block is a novel technique gaining popularity where one injects local anesthesia safely under ultrasound guidance in the interspace between the popliteal artery and capsule of the knee. There have been no studies till date comparing the efficacy between IPACK block and Periarticular Infiltration (PAI).
Investigators
Yan Lai
Assistant Professor
Icahn School of Medicine at Mount Sinai
Eligibility Criteria
Inclusion Criteria
- •ASA (American Society of Anesthesiology) class I-IV
- •age 18-75.
Exclusion Criteria
- •ASA class V
- •morbid obesity
- •patient refusal
- •patients with chronic pain or on pain medication
- •allergy to LA
- •patients receiving any additional regional techniques
- •coagulopathy
- •patients receiving systemic anticoagulation
- •local infection and procedures anticipated to last more than 5 hours.
Arms & Interventions
Ipack group
20 cc of bupivacaine(o.25%) will be injected with the help of ultrasound guidance. Patients will receive adductor canal catheter and peri articular infiltration as well.
Intervention: Ipack
Ipack group
20 cc of bupivacaine(o.25%) will be injected with the help of ultrasound guidance. Patients will receive adductor canal catheter and peri articular infiltration as well.
Intervention: Bupivacaine
Ipack group
20 cc of bupivacaine(o.25%) will be injected with the help of ultrasound guidance. Patients will receive adductor canal catheter and peri articular infiltration as well.
Intervention: Peri Articular Infiltration
Pai (peri articular) group
Patients will receive adductor canal catheter and peri articular infiltration.
Intervention: Peri Articular Infiltration
Outcomes
Primary Outcomes
Narcotic Consumption
Time Frame: 24 hours
Narcotic consumption in the first 24 hours
Secondary Outcomes
- Ambulation Distance(Post-op Day 1)
- Bartels Index(Post-op Day 1)
- Number of Participants With Pain by Location(24 hours)
- Visual Analogue Score (VAS) for Pain(at 6, 12, 18, and 24 hours post procedure)
- Time to First Dose of Narcotic Administration(up to 24 hours)
- PACU Length of Stay(average 24 hours)