Efficacy of Adductor Magnus Muscle Plane Injection for Sciatic Nerve Block Versus Subgluteal Approach in Combination with Femoral Nerve Block in Knee Surgeries- a Randomized Control Study.
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- Assessment of sciatic sensory block
研究概览
简要总结
the goal of this clinical trial is to compare the efficacy of adductor magnus muscle plane injection as an approach for sciatic nerve block to sub-gluteal approach in combination with femoral nerve blocks as perioperative analgesia in knee surgeries.
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
- Single (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
- •ASA (American Society of Anaesthesiologists) Physical Status I-III.
- •Patients who consent to receive regional anesthesia.
排除标准
- •Patients with a history of allergy to local anesthetics.
- •Pre-existing neurological deficits in the lower extremities.
- •Coagulopathy or anticoagulation therapy that cannot be safely discontinued.
- •Infection at the site of block injection.
- •Severe obesity (BMI > 40).
- •Patients with contraindications to regional anesthesia.
- •peripheral neuropathy.
- •Psychiatric disorders and communication difficulties.
结局指标
主要结局
Assessment of sciatic sensory block
时间窗: At 30 minutes after the block
It will be assessed by evaluating the sharp sensation with pinprick testing, and the presence or loss of cold-warm feeling as (2 for normal sensory perception, 1 for loss of cold-warm feeling, and 0 for loss of pinprick sensation) for ciatic in the sole of foot.
Assessment of sciatic motor block
时间窗: At 30 minutes after the block
Sciatic block will be evaluated by the motion of the foot and ankle joint (3 for normal movement, 2 for unable to push or flex the foot against external resistance, 1 for unable to push or flex the foot against gravity and 0 for no motion
次要结局
- Postoperative pain scores(At 1, 6, 12, and 24 hours post-operative)
- The onset of sciatic sensory blockades(Every 3 minutes with maximum time 30 minutes (if no changes within 30 min the patient will be excluded from the study))
- The duration of the sciatic nerve block procedure(during sciatic nerve block conduction)
- Visibility scores for the sciatic nerve(during sciatic nerve block using sub gluteal approach conduction)
- Visibility scores for Adductor magnus muscle (AMM)(during sciatic nerve block using adductor magnus muscle plain block conduction)
- Patient satisfaction(Before the patient discharge)
- The onset of the Sciatic motor block(Every 3 minutes with maximum time 30 minutes (if no changes within 30 min the patient will be excluded from the study))
研究者
Mohammed Gaber Saad
Lecturer of anesthesia, intensive care and pain medicine
Al-Azhar University