Enhanced Analgesia in Elderly After Total Knee Arthroplasty Using Combined Biceps Femoris Short Head Block and Adductor Canal Block Versus Genicular Nerve Block
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Time of first rescue analgesia (naluphine)
研究概览
简要总结
The purpose of this study is to compare the analgesic outcomes (time to first analgesic request, total amount of analgesic consumption, and pain scores) following total knee arthroplasty by either combined biceps femoris short head block and adductor canal block or genicular nerve block in elderly patients.
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
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patient acceptance
- •Physical status: ASA I, II and Ⅲ.
- •Body mass index (BMI): 18.5 - 35 kg/m
- •Type of operations: total knee arthroplasty.
排除标准
- •Known hypersensitivity to dexamethasone or bupivacaine.
- •Coagulation disorders or taking drugs affect surgical hemostasis.
- •Patients with pre-existing neurological deficits.
- •Uncooperative patient or with altered mental status.
- •Patient with advanced cardiovascular or respiratory diseases or uncontrolled diabetes
研究组 & 干预措施
Group (C)
The patient will receive combined biceps femoris short head block and adductor canal block
干预措施: Combined biceps femoris short head block and adductor canal block (Other)
Group(G)
The patient will receive genicular nerve block
干预措施: Genicular nerve block (Other)
结局指标
主要结局
Time of first rescue analgesia (naluphine)
时间窗: 24 hours postoperative
to the duration from the block to the moment when the patient first requires or requests supplemental nalbuphine due to breakthrough pain
次要结局
- block performance time(time of performance of the block)
- Pain intensity(30 minutesn2, 4, 8, 12, 18 , and 24 hours postoperative)
- Total amount of rescue analgesia (nalbuphine)(first 24 hours postoperative)
- assess functional recovery(at 12 hours and 24 hours postoperative)
- patient's satisfaction(24 hours postoperative)
- Block related complications(24 hours postoperative)
研究者
Marwa Mohamed Medhat
assistant professor of anesthesia and surgical intensive care(Principal Investigator)
Zagazig University