Comparison of Postoperative Analgesic Efficacy of Adductor Canal Block With IPACK Versus Adductor Canal and Popliteal Sciatic Nerve Block in Patients Undergoing Arthroscopic Anterior Cruciate Ligament Reconstruction
试验速览
- 阶段
- 3 期
- 状态
- 终止
- 发起方
- 入组人数
- 7
- 试验地点
- 1
- 主要终点
- Average Post-operative Pain Score
研究概览
简要总结
This is a prospective study comparing femoral nerve block plus sciatic nerve block to femoral nerve block plus infiltration of the posterior knee capsule (IPACK) in patients undergoing arthroscopic anterior cruciate ligament reconstruction. Femoral nerve block via the adductor canal (FNB-AC) with IPACK may provide effective analgesia while avoiding the motor block involved with sciatic nerve block. The lack of motor block is important to facilitate postoperative ambulation and physical therapy.
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
- None
入排标准
- 年龄范围
- — 至 21 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients less than 21 years of age
- •American Society of Anesthesiologists physical status I and II
- •Undergoing elective anterior cruciate ligament reconstruction
排除标准
- •They are unable or unwilling to take part in the study
- •History of allergy to any of the medications administered for the nerve block
- •Contraindication to peripheral nerve block
- •Patients who are unable to understand instructions or questions related to the study or the families required language interpretation
- •Patients who consume opioid medications for more than three days per week for more than a month prior to surgery
研究组 & 干预措施
FNB-AC + Sciatic nerve block
Patients will receive up to 20 mL of 0.2% ropivacaine for FNB-AC and up to 20 mL of 0.2% ropivacaine for sciatic nerve block under ultrasound guidance.
干预措施: Ropivacaine injection (Drug)
FNB-AC + IPACK
Patients will receive up to 20 mL of 0.2% ropivacaine for FNB-AC and up to 20 mL of 0.2% ropivacaine for posterior knee capsular infiltration under ultrasound guidance (IPACK)
干预措施: Ropivacaine injection (Drug)
结局指标
主要结局
Average Post-operative Pain Score
时间窗: Immediately post-operatively and up to 48 hours post-discharge, an average of 48 hours
Visual Analogue Scale (VAS) pain scores (0 being no pain and 10 being worst pain) from arrival to post-anesthesia care unit (PACU) to 48 hours after discharge from surgery center.
次要结局
- Number of Opioid Doses Administered(Intra-operative and up to 48 hours post-discharge, an average of 48 hours)
研究者
Sujana Dontukurthy
Clinical Assistant Professor of Anesthesiology
Nationwide Children's Hospital