Dual Subsartorial Block Versus Adductor Canal Block Versus Femoral Nerve Block for Postoperative Analgesia in Patients Undergoing Total Knee Arthroplasty: A Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- Time to the 1st rescue analgesia
研究概览
简要总结
This study aims to compare the effect of dual subsartorial block (DSB), adductor canal block (ACB), and femoral nerve block (FNB) for postoperative analgesia in patients undergoing total knee arthroplasty (TKA).
详细描述
Total knee arthroplasty (TKA) offers increased joint mobility and painless ambulation to patients. Femoral nerve block (FNB) is commonly used to relieve postoperative pain and opioid consumption.
Adductor canal block (ACB) is a common analgesic intervention for postoperative pain control following TKA. The dual subsartorial block (DSB) is a novel procedure-specific and motor-sparing regional analgesia (RA) technique that may reduce overall postoperative opioid consumption when used in conjunction with multimodal analgesia.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age from 18 to 75 years.
- •Both sexes.
- •American Society of Anesthesiology (ASA) physical status I-II.
- •Undergoing total knee arthroplasty (TKA) under general anesthesia.
排除标准
- •Severe valgus deformity.
- •Acute/chronic kidney disease.
- •Neurological deficit.
- •Cognitive dysfunction.
- •Local infection at the site of injection.
- •Coagulopathy.
- •Hypersensitivity and/or allergies to local anesthetic (LA) or any of the study medications.
- •Chronic opioid consumption (daily or almost daily use of opioids for > three months).
- •Operative limb neuropathy.
研究组 & 干预措施
ACB group
Patients will receive an adductor canal block (ACB).
干预措施: Adductor canal block (Other)
FNB group
Patients will receive a femoral nerve block (FNB).
干预措施: Femoral nerve block (Other)
DSB group
Patients will receive dual subsartorial block (DSB).
干预措施: Dual subsartorial block (Other)
结局指标
主要结局
Time to the 1st rescue analgesia
时间窗: 24 hours postoperatively
Time to the first request for the rescue analgesia (time from the end of surgery to first dose of morphine administrated).
次要结局
- Intraoperative fentanyl consumption(Intraoperatively)
- Degree of pain(24 hours postoperatively)
- Degree of patient satisfaction(24 hours postoperatively)
- Incidence of adverse events(24 hours postoperatively)
研究者
Mohammed Said ElSharkawy
Lecturer of Anesthesiology, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.
Tanta University