Randomized study to compare adductor canal block and combination of adductor canal block with ipack block for post operative analgesia in adult patient undergoing knee surgery
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Government of gujrat
- Enrollment
- 80
- Locations
- 1
- Primary Endpoint
- POSTOPERATIVE PAIN SCORE EVALUATED BY VRS(VERBAL RATING SCORE)
Overview
Brief Summary
Effective pain management after knee surgery is crucial for early mobilization and reduced hospital stays. Peripheral nerve blocks have become preferred techniques to control postoperative pain while minimizing opioid use and related side effects. Among these, the adductor canal block (ACB) offers good analgesia while preserving quadriceps strength, aiding faster rehabilitation by targeting key sensory nerves around the knee. However, ACB alone does not adequately cover posterior knee pain. The IPACK block, which anesthetizes terminal sciatic nerve branches, complements ACB by addressing posterior knee discomfort without causing foot drop. So this study is plane to evaluate and compare the effect of combination of these two block.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Masking
- Participant Blinded
Eligibility Criteria
- Ages
- 18.00 Year(s) to 75.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •Patients willing to consent for the study BMI-18-35 kg/m2 American Society of Anesthesiologist (ASA) Classification I, II, III Elective Knee Surgery under spinal anesthesia.
Exclusion Criteria
- •Patients with pre-existing respiratory diseases, cardiac diseases Pregnant patients Patients with history of bleeding disorders or on anticoagulant therapy Patient refusal to participate in study Infection at or near injection site H/O previous knee surgery Allergy to local anesthetics Bilateral knee arthroplasty Patient with neuropathic pain of lower limb.
Outcomes
Primary Outcomes
POSTOPERATIVE PAIN SCORE EVALUATED BY VRS(VERBAL RATING SCORE)
Time Frame: Time from block to be given preoprative to the 24 hours postoperative period.
1.VRS(R)AT REST
Time Frame: Time from block to be given preoprative to the 24 hours postoperative period.
2.VRS(M)AT MOVMENT
Time Frame: Time from block to be given preoprative to the 24 hours postoperative period.
Secondary Outcomes
- 1.Intra operative and post operative hemodynamic monitoring.(2.Post-operative requirement of opioid Analgesic.)
Investigators
Dr Rushali Thakkar
B J Medical college Civil hospital