Analgesic Efficacy of Genicular Nerve Block Versus Local Anaesthetic Infiltration Between Popliteal Artery and Capsule of the Knee (IPACK Block ) in Patients Undergoing Anterior Cruciate Ligament (ACL) Repair by Knee Arthroscopy . A Randomized Controlled Prospective Study .
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- VAS score
研究概览
简要总结
One of the most common injuries to the knee is an anterior cruciate ligament (ACL) sprain or tear due to trauma ACL damage is crippling and often requires repair with an arthroscopic method, which is an outpatient surgery. Nevertheless, patients experience severe postoperative pain on the first day after the ACL reconstruction.Efficient postsurgery pain management is an important part of patient recovery that is also crucial for their satisfaction.
详细描述
The optimum role of peripheral nerve blocks in ACL reconstruction continue to be debated as a component of multi-modal analgesia . As such ,an ideal block for ACLR would target sensation but not motor function,have minimal complication risk,and be easily reproducible The genicular nerves include branches from the femoral, common peroneal, saphenous, tibial, and obturator nerves which innervate the knee capsule . The superolateral, superomedial, and inferomedial On the other hand, the interspace between the Popliteal Artery and Capsule of the Knee (IPACK) block provides analgesia on the posterior knee joint, and the application of a genicular or IPACK block has been be associated with promising outcomes following the ACLR surgery
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, Care Provider)
入排标准
- 年龄范围
- 15 Years 至 45 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patient age from 18 to 45 years old Patient status ASA I - II Patient body mass index (BMI) <40 kg/m2
排除标准
- •-Patients were excluded if they refused consent.
- •Patients who are Not cooperative.
- •BMI >40 kg/m
- •Allergy to local anesthetics.
- •Patients with anticoagulation or bleeding problems.
- •Previous nerve dysfunction.
- •Physical status ASA class IV.
结局指标
主要结局
VAS score
时间窗: 48 hour
Measuring pain intensity regarding mean visual analogue score (VAS score ) ranging from 0 (no pain) to 10 (the worst imaginable pain.
次要结局
- Incidence of occurrence of systemic toxicity(Within 24 hour)
- The length of hospital stay .(within one week)
- Ambulatory score(Within 48 hour)
- Time of first rescue analgesia(within 24 hour)
- Total opioid consumption post operative(Within 24 hour)
研究者
Mariana Soliman
Lecturer of anaesthesia, surgical intensive care and pain managment
Beni-Suef University