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NCT Number: NCT06683313

Comparison of the Combination of Popliteal Sciatic and Femoral Block With the Combination of Ipack Adductor Canal Blocks

Comparison of the combination of popliteal sciatic and femoral block with the combination of ipack adductor canal blocks and mobilization and analgesia duration in elective knee surgeries

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Key information

Conditions

Post-operative Analgesia Early Mobility

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Gaziosmanpasa Research and Education Hospital, Istanbul, 34000, Istanbul, Turkey (Türkiye)

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About this study

There is concern that about half of patients with elective knee surgery report severe knee pain immediately after surgery. Optimal postoperative knee analgesia is important not only for patient comfort and satisfaction, but also to accelerate mobilization, functional recovery, and hospital discharge. To facilitate earlier ambulation and provide superior pain control, while striving for shorter hospital stays and same-day discharge for patients There is an increasing emphasis on multimodal analgesia and motor sparing regional anesthesia blocks.

To compare the postoperative analgesic efficacy of ipack adductor canal and femoral popliteal sciatic blocks in elective knee surgeries, and the first mobilization (bromage 0) times of motor block after spinal anesthesia. Our primary aim is to compare the ipack adductor canal block added after spinal anesthesia in elective knee surgeries with the combination of femoral + popliteal sciatic block. post of blocks To evaluate the operative mobilization (bromage 0) and analgesia times. Our secondary aims are to evaluate the first 4, 8, 12, 24 hours VAS (visual analog scale) values, first analgesia time, post op 1 hour bromage scores, postoperative nausea, vomiting, and discharge times, side effects. compare the incidence of effects.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

knee operation,

-

Exclusion criteria

Patients who did not consent to the procedure, those with coagulopathy, a known allergy to local anesthetics, a BMI > 35 kg/m², chronic analgesic and opioid use, mental or psychiatric disorders, or inability -

Treatment and study plan

combination femoral nerve and popliteal sciatica block

Combination Product

Combination of femoral nerve and popliteal sciatica block performed after knee surgery

Other names: group FS

combination adductor canal and IPACK block

Combination Product

Combination of adductor canal and IPACK block performed after knee surgery

Other names: group AI

Primary outcomes

  1. postoperative first mobilization time

    Time frame: 24 hour

    After receiving spinal anesthesia, patients undergoing elective knee surgery were taken to the operating room. Postoperatively, patients were randomly assigned into two groups using a closed-envelope method. In the first group, patients in the supine position received an adductor canal block with 20 ml of 0.025% bupivacaine and an IPACK block with an additional 20 ml of 0.025% bupivacaine. In the second group, patients in the supine position received a femoral nerve block with 20 ml of 0.025% bupivacaine and a sciatic nerve block administered via the popliteal region with an additional 20 ml of 0.025% bupivacaine. Motor block, analgesia, and mobilization times were assessed at the 2nd, 4th, 8th, and 24th hours postoperatively.In the postoperative period, patients' motor functions were assessed at specific intervals (e.g., at the 2nd, 4th, 8th, 12th and 24th hours) using the Bromage Scale. During each assessment, patients were asked to move their hip, knee, and ankle joints.

Secondary outcomes

  1. Numerical Rating Scale (NRS) Scores

    Time frame: 24 hour

    NRS scores were evaluated at the 2nd, 4th, 8th, 12th, and 24th hours. The Numerical Rating Scale (NRS) is a pain assessment tool where patients rate their pain intensity on a scale from 0 to 10, with 0 indicating no pain and 10 representing the worst pain imaginable.

Sponsors and collaborators

Lead sponsor

Gaziosmanpasa Research and Education Hospital

Other Gov

Registry information

Official study title

Comparison of the Combination of Popliteal Sciatic and Femoral Block With the Combination of Ipack Adductor Canal Block Duration in Elective Knee Surgeries

Acronym: kneesurgery

Important dates

Study start
2023
Primary completion
2023
Study completion
2023
First posted
Nov 12, 2024
Registry last updated
Nov 12, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

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This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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