Evaluation of the Effectiveness of iPACK (Local Anesthetic Infiltration of the Interspace Between the Popliteal Artery and the Posterior Knee Capsule) and Adductor Canal Blocks on Quality of Recovery in Patients Undergoing Arthroscopic Knee Surgery
Overview
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Sakarya University
- Enrollment
- 64
- Locations
- 1
- Primary Endpoint
- Quality of Recovery
Overview
Brief Summary
Arthroscopic knee surgery is one of the most commonly performed procedures in orthopedic surgery. More than 50% of patients experience moderate to severe pain after the operation. Inadequate postoperative pain control and poor recovery quality can negatively impact physiotherapy protocols, prolong hospital stays, and consequently lead to cognitive dysfunction, systemic infections, and increased healthcare costs.
Therefore, reducing postoperative pain and improving recovery quality are of great importance. In our clinic, a variety of analgesic techniques are routinely employed as part of a multimodal analgesia approach for patients undergoing arthroscopic knee surgery. One of these techniques is the simultaneous application of the IPACK block and the adductor canal block.
In this study, we aim to evaluate the effectiveness of these blocks on postoperative recovery quality in patients undergoing arthroscopic knee surgery.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- Single (Participant)
Masking Description
Patients will be randomized with closed letter method.
Eligibility Criteria
- Ages
- 18 Years to 50 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients aged between 18 and 50 years,
- •Scheduled for arthroscopic knee surgery under spinal anesthesia due to knee pathology
- •Patients classified as ASA physical status I-II-III according to the American Society of Anesthesiologists risk classification
Exclusion Criteria
- •Coagulopathy
- •ASA IV-V patients
- •Uncooperable patients
- •Patients who refuses to participate in study
- •Patients who takes chronic pain treatments
Arms & Interventions
Group 1
Group 1 will involve the patients which will be applied iPACK and adductor canal blocks in addition to spinal anesthesia.
Intervention: IPACK and adductor canal block with Bupivacaine 0.25% (Procedure)
Group 1
Group 1 will involve the patients which will be applied iPACK and adductor canal blocks in addition to spinal anesthesia.
Intervention: Spinal Anesthesia with Bupivacaine (Procedure)
Group 2
Group 2 will involve the patients which will be applied only spinal anesthesia without additional peripheric nerve blocks.
Intervention: Spinal Anesthesia with Bupivacaine (Procedure)
Outcomes
Primary Outcomes
Quality of Recovery
Time Frame: 24 hours.
Quality of Recovery of the patients will be assessed with QoR-15 questionnaire. Its scoring will range between 0 and 150 points.
Secondary Outcomes
- Analgesic Consumption(24 hours.)
Investigators
Oguzhan Okumus
Resident M.D.
Sakarya University