A Comparison Between Adductor Canal Block and Femoral Nerve Block for Postoperative Analgesia in Patients Undergoing Total Knee Replacement
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- SRMS IMS
- Enrollment
- 68
- Locations
- 1
- Primary Endpoint
- To compare visual analogue scale (VAS) scores at different period of time in postoperative period between Adductor canal block group and Femoral nerve block group.
Overview
Brief Summary
Knee replacement surgery is often followed by significant pain, which can slow recovery and limit early movement. Nerve blocks are commonly used to reduce this pain. The Femoral Nerve Block has been used for many years but may cause weakness in the thigh muscles, affecting walking after surgery. The Adductor Canal Block is a newer method that provides good pain relief while better preserving muscle strength.
This study aims to compare these two techniques in patients undergoing knee replacement surgery. The objective is to find out which block gives better pain relief, fewer side effects, and faster return of mobility after the operation.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Masking
- Participant and Outcome Assessor Blinded
Eligibility Criteria
- Ages
- 18.00 Year(s) to 70.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •Patients aged 18-70 years of either sex ASA physical status I/II/III.
Exclusion Criteria
- •ASA physical status IV Contraindications to spinal anaesthesia Pregnancy Major psychiatric diseases and history of substance abuse Hypersensitivity to study drug- Bupivacaine hydrochloride 0.5% Patient refusal.
Outcomes
Primary Outcomes
To compare visual analogue scale (VAS) scores at different period of time in postoperative period between Adductor canal block group and Femoral nerve block group.
Time Frame: The patients will be assessed for pain using visual analogue scale (VAS) score and mobility by observing the angle of flexion of knee joint at 1, 2, 3, 6, 12, 24 and 48 hours in the postoperative period.
To compare range of motion in knee joint as angle of flexion upto 48 hours in the two groups
Time Frame: The patients will be assessed for pain using visual analogue scale (VAS) score and mobility by observing the angle of flexion of knee joint at 1, 2, 3, 6, 12, 24 and 48 hours in the postoperative period.
Secondary Outcomes
- To compare opioid consumption in the two groups in first 48 hours
Investigators
Dr Aakash Kasana
Department of Anaesthesia, Shri Ram Murti Smarak Institute of Medical Sciences (SRMS IMS)