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
研究概览
地位
详细说明
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
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Sharqia Province
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Zagazig、Sharqia Province、埃及、055
- Faculty of Medicine, Zagazig University Hospitals
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参与标准
资格标准
适合学习的年龄
- 成人
接受健康志愿者
描述
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
学习计划
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的：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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实验性的：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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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Postoperative pain intensity measured by Visual Analog Scale (VAS)
大体时间：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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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Total opioid consumption
大体时间：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
大体时间：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
大体时间：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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合作者和调查者
调查人员
- 学习椅：Abdalla Mohamed Goda, MD、Faculty of medicine, Zagazig university
- 研究主任：Yasser Mohamed Naser, MD、Faculty of medicine, Zagazig university
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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