Comparing 4-1 block against epidural for pain relief in knee and below knee surgeries

Novel vs Traditional : Comparison of 4-l block vs epidural for post operative analgesic needs in knee and below knee surgeries - NIL

Status

Active, not recruiting

Phases

Phase 3Phase 4

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2024/04/065824

Enrollment

Registered

2024-04-16

Start date

Unknown

Completion date

Unknown

Last updated

2024-04-29

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

Conditions

Health Condition 1: O- Medical and Surgical

Interventions

Intervention1: Four in one block (4-1 block): USG Guided 4-1 block given with 0.2% ropivacaine 35 ml along with 0.5 mcg/kg Dexmedetomidine in knee and below knee surgeries. Control Intervention1: Con

Eligibility

Inclusion criteria

Inclusion criteria: ASA 1 and ASA 2

Exclusion criteria

Exclusion criteria: ASA 3 & 4 Refusal of consent psychological and neurological disorder coagulation disorder infection at local site of injection history of allergy to LA

Design outcomes

Primary

Measure	Time frame
1)Duration of post-operative analgesia. 2)Total dose of rescue analgesic required in first 24 hours. 3)VAS (Visual Analog Score) in 2, 4, 6, 12, 24 hours post-operatively. Timepoint: 2, 4, 6, 12, 24 hours	—

Secondary

Measure	Time frame
1)To analyze the incidences of complications, if any, associated with 4 in 1 block and Epidural Blocks 2)To assess the side effects of drugs used in the study 3)Length of hospital stay Timepoint: 2, 4, 6, 12, 24 hours	—

Countries

India

Contacts

Public ContactDr Arun Andappan

NH MMI Superspecialty Hospital

arunandappan@gmail.com9584411011

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026