Adductor Canal Block With IPACK Versus 4-in-1 Block for Postoperative Analgesia in Knee Surgery
Effect of Adductor Canal Block With Infiltration of the Posterior Capsule of the Knee Versus 4-in-1 Block Technique for Postoperative Analgesia in Patients Undergoing Knee Surgeries
Studieoversikt
Status
Forhold
Intervensjon / Behandling
Detaljert beskrivelse
Effective postoperative pain control following knee surgery is essential for early mobilization, rehabilitation, and patient satisfaction. Several regional anesthesia techniques have been developed to provide analgesia while preserving quadriceps muscle strength. Adductor Canal Block combined with Infiltration of the Posterior Capsule of the Knee (IPCAK) has been proposed as a motor-sparing technique that provides effective anterior and posterior knee analgesia. The 4-in-1 block is another ultrasound-guided regional anesthesia technique designed to provide comprehensive analgesia for knee surgery.
This prospective randomized interventional study enrolled 24 patients undergoing knee surgery. Participants were randomly assigned to receive either Adductor Canal Block with IPCAK or the 4-in-1 block. Postoperative pain scores, time to first rescue analgesia, total analgesic consumption, motor function, patient satisfaction, and complications were evaluated and compared between the two groups
Studietype
Registrering (Faktiske)
Fase
- Ikke aktuelt
Kontakter og plasseringer
Studiesteder
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Sharqia Province
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Zagazig, Sharqia Province, Egypt, 055
- Faculty of Medicine, Zagazig University Hospitals
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Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Voksen
Tar imot friske frivillige
Beskrivelse
Inclusion Criteria:
- 1. Patients or caregivers acceptance. 2. Age : 21 - 64 years 3. Sex : both ( males & females). 4. Physical status: ASA І & II. 5. BMI 18.5-30 kg/m2. 6. Type of operations : elective surgery. 7. Type of anesthesia: unilateral intrathecal anesthesia. 8. Patients undergoing elective knee surgery under unilateral spinal anesthesia 9. Duration of surgery within 2 hr.
Exclusion Criteria:
- Known history of allergy to study drug Coagulopathies or taking drugs affecting coagulation.. Contraindications for peripheral nerve block (PNB) and spinal anesthesia (SA) (coagulation defects, infection at the puncture site), bone degenerative disease and posttraumatic condition of the spine, dementia and severe visual or auditory disorder.
Current severe psychiatric disease, alcoholism or drug dependence. Subjects with history previous knee surgery, osteoarthritis, malformation or tumors (including Baker's cyst), which could alter the normal anatomy of the popliteal fossa
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
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Eksperimentell: Adductor canal block+ IPACK
Patients receive ultrasound-guided Adductor Canal Block combined with Infiltration of the Posterior Capsule of the Knee (IPCAK) for postoperative analgesia after knee surgery
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Ultrasound-guided Adductor Canal Block combined with IPCAK block
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Eksperimentell: 4 in 1 block
Patients receive ultrasound-guided 4-in-1 block for postoperative analgesia after knee surgery.
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Ultrasound-guided 4-in-1 block technique.
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Postoperative pain intensity measured by Visual Analog Scale (VAS)
Tidsramme: 24 hours after surgery
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Postoperative pain will be assessed using the Visual Analog Scale (VAS) at rest and during movement at predetermined postoperative time points
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24 hours after surgery
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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Total opioid consumption
Tidsramme: First 24 hours after surgery
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Total rescue opioid analgesic consumption during the first 24 postoperative hours
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First 24 hours after surgery
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Time to first rescue analgesia
Tidsramme: Within 24 hours after surgery
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Time from completion of surgery to the first request for rescue analgesia
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Within 24 hours after surgery
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Patient satisfaction with postoperative analgesia
Tidsramme: 24 hours after surgery
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Patient satisfaction score regarding postoperative pain management
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24 hours after surgery
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Samarbeidspartnere og etterforskere
Sponsor
Etterforskere
- Studiestol: Abdalla Mohamed Goda, MD, Faculty of medicine, Zagazig university
- Studieleder: Yasser Mohamed Naser, MD, Faculty of medicine, Zagazig university
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Primær fullføring (Faktiske)
Studiet fullført (Faktiske)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- 1763
Plan for individuelle deltakerdata (IPD)
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