A Comparative Study Between the Effect of Continuous Adductor Canal Block Versus Continuous Adductor Canal Block With Additional Infiltration Between The Popliteal Artery and Capsule of The Knee (IPACK) After Arthroscopic Knee Surgeries
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 70
- 试验地点
- 2
- 主要终点
- Degree of pain
研究概览
简要总结
This study aims to evaluate the effect of Continuous Adductor Canal Block only versus adding posterior knee block, known as the Infiltration between the Popliteal Artery and Capsule of the Knee (IPACK) block with Continuous Adductor Canal Block (CACB) after arthroscopic knee surgeries.
详细描述
Enhanced recovery after arthroscopic knee surgery is gaining popularity in orthopedic surgeries. Motor preservation with adequate analgesia has become the optimal postoperative goal, enabling earlier physical therapy, faster recovery, and early hospital discharge. Spinal anesthesia for knee arthroscopy has favorable outcome effects compared with general anesthesia. The positive physiological effects of the provided sympathetic blockade with less blood loss, increased leg blood flow, and better initial pain relief explain this.
An ideal nerve block that targets the sensory nerves and spares the motor function can facilitate early ambulation and rehabilitation, a major goal for patients undergoing arthroscopic knee surgery.
A novel technique for posterior knee block, known as the infiltration between the popliteal artery and capsule of the knee (IPACK) block combined with continuous adductor canal block (CACB) would reduce opioid requirements.
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
- 21 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age from 21 to 65 years.
- •Both sexes.
- •American Society of Anesthesiologists (ASA) Physical Status Class I to II.
- •Patients with successful spinal anesthesia.
- •Patients scheduled for elective arthroscopic knee surgery for anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) repair.
排除标准
- •Declining to give written informed consent.
- •History of allergy to the medications used in the study.
- •Contraindications to regional anesthesia (including coagulopathy and local infection).
- •Polytrauma patients having lower limb fractures.
- •Patients with pre-existing myopathy or neuropathy on the operating limb.
- •Patients with diabetes mellitus.
- •Psychiatric disorder.
- •Morbid obesity [body mass index (BMI) > 45kg/m2].
- •Complicated Surgery.
结局指标
主要结局
Degree of pain
时间窗: 24 hours postoperatively
The degree of pain will be assessed using the Visual Analogue Scale (VAS). VAS score is determined by measuring the distance (mm) on the 10-cm line between the "no pain" anchor and the patient's mark, providing a range of scores from 0-100. No pain (0-4 mm), mild pain (5-44 mm), moderate pain (45-74 mm), and severe pain (75-100 mm).
次要结局
- Total Nalbuphine consumption(24 hours postoperatively)
- Straight leg rise(24 hours postoperatively)
- Range of motion(24 hours postoperatively)
- Rate of complications(24 hours postoperatively)
研究者
Nada Ezzat
Assistant Lecturer of Anesthesiology, Intensive Care and Pain Medicine, Faculty of Medicine, Ain shams University, Cairo, Egypt.
Ain Shams University