IPACK Block Versus Adductor Canal Block in High Tibeal Osteotomy
Not Applicable
- Conditions
- Pain, Postoperative
- Registration Number
- NCT05271188
- Lead Sponsor
- Assiut University
- Brief Summary
A comparison between IPACK block and adductor canal block in post operative pain management
- Detailed Description
Two groups of patients between 40 and 60 yrs who are undergoing open wedge high tibeal osteotomy Group 1 will receive IPACK block with 15 ml Bupivacaine, immediately before spinal anaesthesia .
Group 2 will receive adductor canal block ,also with 15 ml Bupivacaine. before spinal anaesthesia. register the time of first pain sensation and firs IV analgesic dose required in each group
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 60
Inclusion Criteria
- Age 40 - 60 years.
- American Society of Anesthiologist class ( ASA) I - III
- BMI 18-35 kg/m2
- Scheduled for primary unilateral open wedge high tibial osteotomy
Exclusion Criteria
- Known allergy to local anesthetics
- Contraindication to local anesthetics injection e.g. infection at the site of injection
- Contraindication to spinal anesthesia e.g. coagulopathy.
- Patients with pre-existing motor or sensory deficits in lower extremities.
- Insulin or noninsulin dependent diabetes mellitus.
- systemic corticosteroid use within 30-days of surgery
- difficulties in comprehending visual analog scale (VAS) pain scores
- history of arrhythmia or seizures
- severe renal insufficiency
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method the time of first pain sensation requiring analgesia 24 hours If intervention which is adductor canal block or lPACK block is effective in postoperative pain control that can decrease the lV analgesic agents
- Secondary Outcome Measures
Name Time Method