comparison of analgesic efficacy of ultrasound guided genicular nerve block in combination with femoral nerve block in Primary total knee Arthroplasty
试验速览
- 阶段
- Unknown
- 状态
- 尚未招募
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- To compare the effect of addition of ultrasound guided genicular nerve block to anaesthetic techniques on postoperative pain in patients undergoing total knee replacement.
研究概览
简要总结
Total knee arthroplasty (TKA) isa common surgical procedure that is characterized by moderate to severepostoperative pain .
Severe pain post operatively hasbeen known to have detrimental impact onpatient outcome and morbidity.
Several modalities of analgesiaincluding nerve blocks for effectivepostoperative analgesia and faster functional recovery have been discussed inthe literature.
Ultrasound guided genicular nerveblocks and radio-frequency ablation are known to provide effective analgesia inchronic knee pain.
In this study, we aim to assessthe analgesic efficacy of combination ofgenicular nerve blocks and adductorcanal block in primary total knee arthroplasty
This technique for analgesiain TKA patients can be utilized toimprove pain scores and facilitate early ambulation, reduce the use of opioidsin perioperative period.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 45.00 Year(s) 至 75.00 Year(s)（—）
- 性别
- All
入选标准
- •Unilateral primary TKA.
排除标准
- •Poorly Controlled DM(Hba1c>8) Cirrhosis Chronic Renal Failure Stroke , Uncontrolled Epilepsy History Of Post Op Delirium History Of DVT (Therapeutic Use Of Anti-Coagulants) Chronic Alcoholism Chronic Smoker (1 Pack/Day Past Six Months) History of allergy to local anaesthetics.
- •Cardiopulmonary Disease (Recent MI,S/P Cardio Thoracic Surgery, severe pulmonary artery hypertension,Arrythmias, ejection fraction< 40%).
结局指标
主要结局
To compare the effect of addition of ultrasound guided genicular nerve block to anaesthetic techniques on postoperative pain in patients undergoing total knee replacement.
时间窗: To compare the effect of addition of ultrasound guided genicular nerve block to anaesthetic techniques on postoperative pain in patients undergoing total knee replacement. | Pain will be assessed at 6 12 18 24 & 48 hourly postoperatively by an anesthesiologist
次要结局
- To compare the effect of addition of ultrasound guided genicular nerve blocks in patients undergoing total knee replacement on postoperative opioid requirement , ambulation & physiotherapy(Post operative opioid consumption will be recorded during 0-6 hours, 6-12 hours,12-24 hours & 24-48 hours.)