Comparison of Posterior Lumbar Plexus Block Plus Sciatic Nerve Block With Sciatic Plus Femoral Plus Obturator Nerve Block for Anterior Cruciate Ligament Reconstruction
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 106
- 试验地点
- 2
- 主要终点
- Feasibility of ACL reconstruction surgery under ultrasound guided sciatic nerve block plus femoral nerve block plus obturator nerve block measured with Pain Score on the Visual Analog Scale
研究概览
简要总结
Anterior Cruciate Ligament ACL reconstruction can be performed under the combination of posterior lumbar plexus block plus sciatic nerve block. The investigators can have the same outcome by performing instead of posterior lumbar plexus block more peripheral nerve blocks. More specifically under the combination of sciatic nerve block plus femoral nerve block plus obturator nerve block.
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 (Participant, Care Provider, Outcomes Assessor)
盲法说明
The patient, the orphopaedic surgeon and the anesthesiologist in the OR did not know at which group the patient belonged to.
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 18-50 years old
- •ASA I - II
- •ACL reconstruction surgery
排除标准
- •Coagulopathy disorders
- •Infection at the puncture site for the interscalene block
- •Neurologic deficit in the arm that is going to be operated
- •Allergy to local anesthetics
- •BMI > 35
- •Psychiatric disorders
- •Patient's refusal
- •Problems with patient communication
研究组 & 干预措施
ACL, sciatic, femoral, obturator
ACL reconstruction surgery under ultrasound guided sciatic nerve block plus femoral nerve block plus obturator nerve block
干预措施: Sciatic, femoral, obturator nerve blocks (Other)
ACL, sciatic nerve block, posterior lumbar plexus block
ACL reconstruction surgery under ultrasound guided sciatic nerve block plus posterior lumbar plexus block
干预措施: Sciatic nerve block, posterior lumbar plexus block (Other)
结局指标
主要结局
Feasibility of ACL reconstruction surgery under ultrasound guided sciatic nerve block plus femoral nerve block plus obturator nerve block measured with Pain Score on the Visual Analog Scale
时间窗: 45 min
If the patient complains for pain \> 4 in VAS and there is no relief with fentanyl administration the anesthesia plan converts to general anesthesia with laryngeal mask
次要结局
- Intraoperative opioid consumption for ACL reconstruction surgery under ultrasound guided sciatic nerve block plus femoral nerve block plus obturator nerve block(Intraoperatively)
- Postoperative opioid consumption for ACL reconstruction surgery under ultrasound guided sciatic nerve block plus femoral nerve block plus obturator nerve block(24h)
研究者
Metaxia Bareka
Anesthesiologist
Larissa University Hospital