Health Condition 1: M259- Joint disorder, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: This prospective observational study will be conducted after Ethics committee approval in the institute. Adult patients ( >18 years old) scheduled for unilateral total knee replacement surgery under subarachnoid block will be screened by the anesthesia team, and after successful screening, they were included in the study
Exclusion criteria
Exclusion criteria: hepatic or renal insufficiency, age 80 years old, patients undergoing general anesthesia, allergy or intolerance to one of the study medications, body mass index >40, diabetes mellitus, American Society of Anesthesiologists class IV, chronic gabapentin or pregabalin use (regular use for >3 months), chronic opioid use (taking opioids for >3 months, or daily oral morphine equivalent [OME] of >5 mg/d for 1 month), and patients with severe valgus deformity and flexion contracture
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Distance between posterior of the knee capsule [PKC] and the popliteal artery [PA]Timepoint: at the time of the block | — |
Secondary
| Measure | Time frame |
|---|---|
| 24 hours opioid consumptionTimepoint: 24 hours after surgery;Ability to move the footTimepoint: 6hrs and 24 hrs;Ability to perform physiotherapyTimepoint: 24 hours after the procedure;adequacy of LA spreadTimepoint: during block;Any procedure-related complications were recorded.Timepoint: after the procedure in recovery;Hemodynamic parameters and respiratory parametersTimepoint: preoperative period before blocks, after ACB and IPACK blocks and before induction of anesthesia, 60 min after extubation in the PACU, after 8 and 24 hours in the ward.;postoperative pain scores using VAS (0-10) and need for rescue analgesiaTimepoint: time 0 (immediate postoperative), 60 min, 8 hours and 24 hours | — |
Countries
India
Contacts
Sancheti Institute of orthopedics