The Effect of a Prolonged Peripheral Nerve Block (Utilazing Continuous Adductor Canal Block on the Level of Pain After a Knee Replacement Surgery
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 50
- 主要终点
- Pain level
研究概览
简要总结
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
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Investigator)
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
- •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
排除标准
- •Patients with sensitivity to the anesthetic.
研究组 & 干预措施
Treatment group
ropivacaine (Naropin) 0.2% according to a protocol 8-10 cc per hour up to 24 hours after the surgery
干预措施: Continues peripheral block (Drug)
Control group
Saline according to a protocol 8-10 cc per hour up to 24 hours after the surgery
干预措施: Continues peripheral block (Drug)
结局指标
主要结局
Pain level
时间窗: during hospitalization (1-2 days)
Documentation of pain level during the hospitalization days every 12 hours (on a scale of 1-10)
Analgesic use
时间窗: 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.
次要结局
- Physiotherapy(during hospitalization (1-2 days))
研究者
Zoya Haitov Ben Zikri
Director of the anesthesia department
Assaf-Harofeh Medical Center
