Health Condition 1: M236- Other spontaneous disruption of ligament(s) of knee Health Condition 2: S835- Sprain of cruciate ligament of knee
Conditions
Interventions
Control Intervention1: Inj clonidine as adjuvant in Adductor Canal Block (ACB).: 20ml of Inj. Bupivacaine 0.25% + 0.5µg/kg clonidine in Adductor Canal Block (ACB).
Control Intervention2: intrathecal a
Sponsors
Dr Grace Mammen
Eligibility
Inclusion criteria
Inclusion criteria: 18-75 years aged patients BMI 20-35 kg/m2 ASA I – II Availability of written informed consent Hemodynamically stable patients with all routine investigations within normal limits. Patients undergoing arthroscopic ACL repair
Exclusion criteria
Exclusion criteria: Patient unwilling to get enrolled in the study. Allergy to the study drugs. Patient with pre-op Heart rate 45 beats/min or less. Patient on recent oral opioids in last 3 months. Patients in whom the nerve block could not be performed as per methodology Patients with contraindications to Spinal Anaesthesia Pregnancy Any cognitive dysfunction or psychiatric disorders Patient with heart diseases like congestive heart failure, coronary heart disease, any degree of tract block. Patient with renal insufficiency or liver impairment. Patient with coagulopathy. Patient with neuropathy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| to assess duration of analgesia (time till Visual Analogue Score more than 3)Timepoint: measuring visual analogue scores (VAS) immediately post block every 15 mins in the first hour followed by every 2 hours post block for first 6 hours, then every 6 hours till VAS more than three | — |
Secondary
| Measure | Time frame |
|---|---|
| duration of motor blockTimepoint: measuring modified Bromage score from immediately post block till score of four achieved (ability to flex knee joint);duration of sensory blockadeTimepoint: measuring skin prick scores from immediately post block till score of two achieved (till return of sensation at knee joint);patient satisfaction scoreTimepoint: measured at twenty-four hours post block;sedationTimepoint: measure ramsay sedation scores at 15 minute intervals till baseline levels achieved;to assess pain score post operativelyTimepoint: measuring visual analogue pain scores immediately post block till twenty-four hours post block | — |
Countries
India
Contacts
Public ContactDr Grace Mammen
Dr. D.Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune
Outcome results
None listed