The Effect of a Prolonged Peripheral Nerve Block (Utilazing Continuous Adductor Canal Block on the Level of Pain After a Knee Replacement Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Continues peripheral block
- Conditions
- Knee Replacement Surgery
- Sponsor
- Assaf-Harofeh Medical Center
- Enrollment
- 50
- Primary Endpoint
- Pain level
- Status
- Not yet recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
The aim of this study is to examine the effect of a prolonged peripheral nerve block (utilizing continuous adductor canal block) on the level of pain after a knee replacement surgery
Detailed Description
Knee replacement surgery is one of the common orthopedic surgeries for the treatment of chronic knee pain. The period after knee replacement surgery is accompanied by moderate to severe pain that affects the patient's ability to quickly return to function. Peripheral nerve blockers and analgesia of different types, administered as part of the anesthesia process, are optimal in controlling pain after surgery. After the surgery, the patients are admitted in the orthopedic inpatient department for 2-3 days on average after surgery for follow-up and early physical therapy necessary to achieve good results and return the patient to full function as soon as possible. The level of pain greatly affects the success rate of the patient's rehabilitation. Thus, since the duration of peripheral nerve block activity does not exceed 8-16 hours on average, it is suggested to treat the patients with a prolonged peripheral nerve block (utilizing continuous adductor canal block) for 24 hours after surgery.
Investigators
Zoya Haitov Ben Zikri
Director of the anesthesia department
Assaf-Harofeh Medical Center
Eligibility Criteria
Inclusion Criteria
- •Female and male patients between the ages of 18 and 80 who have signed an informed consent form.
- •ASA is less than 3
- •Spinal anesthesia
Exclusion Criteria
- •Patients with sensitivity to the anesthetic.
Arms & Interventions
Treatment group
ropivacaine (Naropin) 0.2% according to a protocol 8-10 cc per hour up to 24 hours after the surgery
Intervention: Continues peripheral block
Control group
Saline according to a protocol 8-10 cc per hour up to 24 hours after the surgery
Intervention: Continues peripheral block
Outcomes
Primary Outcomes
Pain level
Time Frame: during hospitalization (1-2 days)
Documentation of pain level during the hospitalization days every 12 hours (on a scale of 1-10)
Analgesic use
Time Frame: during hospitalization (1-2 days)
Documentation of pain level during the hospitalization days every 12 hours (on a scale of 1-10). Documentation of analgesic administration in hospitalization.
Secondary Outcomes
- Physiotherapy(during hospitalization (1-2 days))