Infiltration of Local Anesthetic in the Interspace Between the Popliteal Artery and Capsule of the Posterior Knee "IPACK Block" Versus Adductor Canal Block "ACB" for Pain Relief After Open Wedge High Tibial Osteotomy
试验速览
- 阶段
- 不适用
- 入组人数
- 60
- 主要终点
- the time of first pain sensation requiring analgesia
研究概览
简要总结
A comparison between IPACK block and adductor canal block in post operative pain management
详细描述
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
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 40 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
结局指标
主要结局
the time of first pain sensation requiring analgesia
时间窗: 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
次要结局
未报告次要终点
研究者
Salwa Hussein Ahmed Hussein
Assistant lecturer
Assiut University