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Study of pain relief in patients undergoing knee replacement surgery using single versus combined nerve blocks

Comparison Of Postoperative Analgesia Between Conventional Adductor Canal Block Alone Versus Combined Ultrasound Guided IPACK Block And Adductor Canal Block In Total Knee Arthroplasty Surgery - Nl

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2026/04/107991
Enrollment
68
Registered
2026-04-09
Start date
Unknown
Completion date
Unknown
Last updated
2026-06-01

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: Ultrasound guided Adductor Canal Block Plus IPACK Block: Ultrasound guided adductor canal block using 20 ml of 0 point 25 percent bupivacaine combined with IPACK block using 20 ml of 0

Sponsors

Command Hospital Western Command Chandimandir
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Patients aged 45 to 80 years of either gender undergoing elective unilateral primary total knee arthroplasty under spinal anesthesia ASA physical status one to three able to understand visual analog scale willing to give written informed consent and comply with study protocol and follow up

Exclusion criteria

Exclusion criteria: Refusal to participate allergy to local anesthetic or study drugs infection at block site coagulopathy or anticoagulation severe hepatic renal or cardiac disease neurological disorder affecting lower limb cognitive impairment or psychiatric illness chronic opioid use more than three months revision or bilateral knee arthroplasty conversion to general anesthesia intraoperative complications requiring protocol deviation participation in another clinical trial within past 30 days

Design outcomes

Primary

MeasureTime frame
Postoperative pain score using visual analog scale at rest and on movementTimepoint: At 2 hours 6 hours 12 hours and 24 hours postoperatively—

Secondary

MeasureTime frame
Total opioid consumption in first 24 hoursTimepoint: Within 24 hours postoperatively;Time to first rescue analgesiaTimepoint: Within 24 hours postoperatively;Time to first ambulationTimepoint: Within 24 hours postoperatively;Quadriceps muscle strengthTimepoint: At 24 hours postoperatively;Block related complications including vascular puncture hematoma and local anesthetic toxicityTimepoint: Intraoperative and within 24 hours postoperatively—

Countries

India

Contacts

Public ContactVivek Sharma

Department Of Anaesthesiology And Critical Care Command Hospital Western Command Chandimandir

raviksinghal@hotmail.com9876661012

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Jun 11, 2026