To compare which of the two nerve blocks is better in decreasing pain after total knee replacement surgery- adductor canal nerve block alone or adductor canal nerve block and genicular nerve block combined.
- Conditions
- Health Condition 1: M171- Unilateral primary osteoarthritisof knee
- Registration Number
- CTRI/2022/11/047318
- Lead Sponsor
- Dr Prateek Mitra
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Yet Recruiting
- Sex
- Not specified
- Target Recruitment
- 0
1.American Society of Anaesthesiologists physical status (ASA) I-III
2.Aged 40 years and above.
3. Patients scheduled for unilateral, primary, total knee replacement under spinal anaesthesia
4.Patients who agree to participate in the study
1.Patient refusal to participate
2.Contraindication to spinal anaesthesia or peripheral nerve blocks (local infection, neurologic deficit or disorder)
3.Patients with significant level of cognitive impairment (inability to communicate pain scores or the need of analgesia)
4.Patients on opioids for chronic pain
5.Revision knee surgery or bilateral TKR
6.History of psychiatric illness
7.Previous trauma or surgery of ipsilateral knee
8.Severe cardiovascular disease and renal disease
9.History of gastrointestinal bleeding or acid peptic disorder
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The cumulative opioid consumption in the first 24 hoursTimepoint: First 24 hours following surgery
- Secondary Outcome Measures
Name Time Method -Visual analogue score (VAS) at rest and on passive 15° limb lifting at 3, 6,12 and 24 hours postoperatively. <br/ ><br>-Time to first rescue analgesic request <br/ ><br>-Patient´s satisfaction as per Likerts scale <br/ ><br>-Complications like nausea, vomiting, sedation, prolonged <br/ ><br>motor blockade <br/ ><br>Timepoint: 3,6,12 and 24 hours post operatively