Comparison of Combination of Proximal Adductor Canal Block and Infiltration Between Popliteal Artery and Capsule of Knee With Large-Volume Distal Adductor Canal Block in Facilitating Early Mobilization After Total Knee Replacement
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Numeric Rating Scale
研究概览
简要总结
Large-volume distal ACB is not superior to combination of proximal ACB and iPACK in facilitating early mobilization after TKR. Block performing time of distal ACB was significantly shorter compared to the combination of proximal ACB and iPACK
详细描述
Adductor Canal Block (ACB) and Infiltration between Popliteal Artery and Capsule of Knee (iPACK) are popular block methods for analgesia after Total Knee Replacement (TKR), covering both anterior and posterior knee. Adductor canal serves as a passageway, local anesthetic injected here will spread both to proximal and distal to posterior. Study was a single-blinded, randomized controlled trial between June 2023 and January 2024. Large-volume distal ACB is not superior to combination of proximal ACB and iPACK in facilitating early mobilization after TKR. Block performing time of distal ACB was significantly shorter compared to the combination of proximal ACB and iPACK
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
- Single (Participant)
盲法说明
Single blind
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients aged 50 - 80 years who underwent total knee replacement surgery
排除标准
- •Systemic allergy, anaphylactic reaction, and occurrence of cardiac arrest
- •Intraoperative fracture
- •Change to general anesthesia
- •Patient who decides to withdraw from the study.
结局指标
主要结局
Numeric Rating Scale
时间窗: The NRS assessments are conducted at 6 hours, 12 hours, and 24 hours after the surgery
The NRS is a commonly used tool to assess pain intensity. Patients are typically asked to rate their pain on a numerical scale from 0 to 10, where 0 represents no pain and 10 represents the worst imaginable pain
Timed Up and Go test on Postoperative Day 1 (POD 1)
时间窗: The test is conducted specifically on the first day after the surgery, known as Postoperative Day 1 (POD 1)
The Timed Up and Go (TUG) test is a functional mobility assessment used to evaluate a person's ability to stand up from a chair, walk a short distance, turn around, return to the chair, and sit down again. It assesses balance, gait, and functional mobility, which are crucial aspects of postoperative recovery.
Total 24 hours morphine consumption
时间窗: The measurement is taken over the entire 24-hour period following the surgery
This measures the total amount of morphine consumed by patients within the first 24 hours after surgery. It reflects the effectiveness of pain management strategies and the need for opioid analgesia
次要结局
未报告次要终点
研究者
Pryambodho Pryambodho
dr
Indonesia University