Health Condition 1: M170- Bilateral primary osteoarthritis of knee
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Study population will be randomized into two groups through computer generated random numbers and coded sealed envelope method. Envelope will be opened by a technical staff blind to the study. Group 1 USG guided fascia iliaca block Group 2 Epidural block As a protocol in our institute every patient undergoing knee arthroplasty is given subarachnoid block unless contraindicated. In our study either usg guided fascia iliaca block or epidural block will be given based on the randomization for postoperative analgesia. The patient will be shifted to the operating room and all standard ASA monitors will be attached and baseline vitals like blood pressure, heart rate, oxygen saturation will be noted. Under all aseptic precautions, local injection of lignocaine 2% w/v shall be infiltrated into the skin at the point of needle insertion. Group 1 patients will receive SAB followed by usg guided fascia iliaca block with 20 ml ,0.25% bupivacaine + 1mcg /kg of dexmedetomidine , a catheter will be put for postoperative drug infusion, while group 2 patients will be receiving lumbar epidural L2-L3 level and SAB.
Exclusion criteria
Exclusion criteria: 1) Age more than 80 years 2) severe COPD 3) severe life-threatening heart disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Aim of this randomized prospective study is to compare pain scores between USG fascia iliaca block and epidural blockTimepoint: 1st hour,6th hour,12th hour,24hour | — |
Secondary
| Measure | Time frame |
|---|---|
| Total opioid consumption, motor power/weakness, time for ambulation, hypotension, nausea vomiting, and , any complicationon arising from fascia iliaca and epidural blockTimepoint: 1st hour,6th hour,12th hour,24th hour | — |
Countries
India
Contacts
PGIMER CHANDIGARH