Effects of ultrasound-guided adductor canal block on postoperative quality of recovery after arthroscopy knee surgery

Status

Completed

Phases

Phase 4

Study type

Interventional

Source

ANZCTR

Registry ID

ACTRN12616000935437

Enrollment

Registered

2016-07-13

Start date

2016-09-12

Completion date

2017-09-20

Last updated

2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Arthroscopic knee surgery patients may experience discomfort, distress and pain following surgery with approximately 70% incidence of postoperative moderate-to-severe pain reported. These factors could affect the recovery of patients and extend discharge. Many studies have indicated that femoral nerve block(FNB) could relieve pain after anterior cruciate ligament reconstruction. However, FNB has been associated with quadriceps weakness, the risk of falling and delayed mobilization. In recent years, the adductor canal block(ACB) was shown to relieve pain and reduce morphine consumption after arthroscopic knee surgery with minor effects on muscle strength. A meta-analysis indicated that ACB provides better ambulation ability and pain control when compared with FNB and improve functional recovery after total knee arthroplasty. Although these advantages should be evaluated, the effects of ACB on the quality of recovery from patient’s perspective were not documented. The aim of the current trial was to assess the effect of pre-operative ultrasound-guided ACB on the quality of recovery after arthroscopic knee surgery.

Interventions

All participants had an ultrasound-guided adductor canal block (ACB) performed 30 minutes prior to general anaesthesia. ACB was performed by a single consultant anaesthetist using 10ml of 0.5% ropivacaine

Study design

Allocation

Randomised controlled trial

Intervention model

Parallel

Primary purpose

Treatment

Masking

Blinded (masking used) (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender

All

Age

18 Years to 60 Years

Healthy volunteers

Inclusion criteria

Age 18 to 60years ASA physical status were I or II Body mass index were between 18 and 35 kg/m2 Scheduled for arthroscopic knee surgery

Exclusion criteria

Have history of allergic to local anesthetics, opioid drug or alcohol abuse, intake of any analgesic drug within 48 h before surgery, any signs of infection in the vicinity of the place of acupuncture treatment

Outcome results