Health Condition 1: M17- Osteoarthritis of knee
Conditions
Interventions
Intervention1: Modified 4-in-1 block: Patient supine, leg externally rotated and slightly flexed.
Using ultrasound and PNS guidance, inject Bupivacaine 0.5% +
Dexmedetomidine 1 g/kg (total 40 mL).
Sponsors
Dr Sivashankari P
Eligibility
Inclusion criteria
Inclusion criteria: ASA physical status I III, Undergoing elective unilateral Total Knee Arthroplasty, Willing to provide written informed consent
Exclusion criteria
Exclusion criteria: Coagulopathy or bleeding disorders, Local infection at injection site, Allergy to local anaesthetic drugs, Cognitive or psychiatric disorders, Neuropathy or neurological deficit, Chronic opioid use within last 3 months, Bilateral TKA or additional procedures, Severe cardiovascular, hepatic, renal, or respiratory disease, Pregnant patients.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess and compare postoperative pain scores using the Visual Analogue Scale (VAS) after surgery between the two groups.Timepoint: At 3, 6, 12, and 24 and 48 hours after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.To compare postoperative haemodynamic parameters (heart rate, blood pressure, oxygen saturation) between both groups. 2.To assess the requirement and timing of rescue analgesia in both groups. 3.To record and compare postoperative complications (e.g., muscle weakness, nausea, vomiting, infection) 4. To evaluate overall patient satisfaction with pain management.Timepoint: Intraoperative and postoperatively till 48 hours after surgery | — |
Countries
India
Contacts
Public ContactDr Balamurugan MD
Institute of Anaesthesiology ,Madurai medical college
Outcome results
None listed