Health Condition 1: M171- Unilateral primary osteoarthritisof knee
Conditions
Interventions
Intervention1: Epidural versus adductor canal catheter: In 21 patients pain relief will be via epidural infusion continuous for 48 hours and in other 21 via adductor canal catheter single shot 10 ml +
Sponsors
Ruby Hall Clinic
Eligibility
Inclusion criteria
Inclusion criteria: Belonging to ASA 1 and 2 undergoing unilateral arthropathy
Exclusion criteria
Exclusion criteria: a) Patients refusiong to give their consent for the study b) Patients refusing Regional Anaesthesia/ or to have any continuous catheters in their body c) Patients having absolute or relative contra- indications to Regional Anaesthesia d) Patients having a revision TKR e) History of neurological abnormality in the operating leg eg. History of chronic pain, stroke or previous nerve injury f) Allergy or any contra- indication to drugs used in this study g) Morbidly obese ( BMI > 40 ) h) History of alcohol or drug abuse
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| assess analgesic efficacy by noting the VAS score at rest and on movement postoperativelyTimepoint: 0 hrs, 4 hrs, 8 hrs, 12 hrs, 24 hrs, 48 hrs | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Ability to do straight leg raising test suggestive of motor or sensory block as a consequence of ACB or EA 2) Time to first successful ambulation 3) Time to first self micturition in ACB group (as EA group patients catheterized) 4) Analgesics used over 48 hours as a part of multimodal analgesic regimen in both groups 5) adverse events observed in either group 6) Length of hospital stay and 7) Chronic pain at 6 months follow up Timepoint: 0 hrs, 4 hrs, 8 hrs, 12 hrs, 24 hrs, 48 hrs | — |
Countries
India
Contacts
Public ContactDr Tasnim Hozefa Karachiwala
Ruby Hall Clinic
Outcome results
None listed