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Sciatic Nerve Block, Adductor Canal Block, or IPACK Block

Not Applicable
Recruiting
Conditions
Post Operative Pain
Interventions
Procedure: adductor canal block
Procedure: sciatic nerve block
Procedure: IPACK block
Registration Number
NCT05684107
Lead Sponsor
Menoufia University
Brief Summary

Comparison between local anesthetic infiltration between the popliteal artery and the capsule of the knee (IPACK) versus adductor canal block (ACB) or sciatic nerve block (anterior approach) in combination with femoral nerve block for postoperative analgesia in major knee surgeries.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
150
Inclusion Criteria
  • ASA I or II physical status
  • undergoing elective major knee surgery
Exclusion Criteria
  • refusal of the patients to give informed consent,
  • preexisting coagulation disorders,
  • known allergies to aminoamide local anesthetics,
  • local infection at the site of the block,
  • morbid obesity,
  • hepatic and renal diseases
  • patients with psychological disorders

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
adductor canal blockadductor canal block-
sciatic nerve blocksciatic nerve block-
IPACK blockIPACK block-
Primary Outcome Measures
NameTimeMethod
change of visual analogue scalechange from 0 level every 1 hour for 1st 6 hours,then every 4 hours for next 24 hours and on movement

a scale from 0 to 10 as the patient will be asked to express his pain on the scale higher scale means a worse outcome

Secondary Outcome Measures
NameTimeMethod
time for fisrt analgesic requestup to 48 hours

when VAS is 4 or more longer time means a better outcome

total morphine consumptionup to 48 hours

intraoperative and post operative higher consumption means a worse outcome

Trial Locations

Locations (1)

Faculty of Medicine, University Hospitals

🇪🇬

Shibīn Al Kawm, Menoufia, Egypt

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