Adductor canal block with different approaches
Conditions
Interventions
The first group:Proximal approach adductor tube group
The second group:Adductor tube group via middle approach
The third group:Distal approach adductor tube group
Sponsors
Department of Anesthesia and Peri-Operative Medicine, the First Affiliated Hospital of Shandong First Medical University
Eligibility
Sex/Gender
All
Age
50 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Patients with degenerative osteoarthritis , rheumatoid arthritis and other end-stage osteoarthrosis who plan to undergo unilateral total knee arthroplasty under general anesthesia; 2. The age of the patient is 50 to 80 years old; 3. According to the American Association of Anesthesiologists ((ASA)), it is classified as grade I ~ III; 4. All patients signed the informed consent form, carried out pain score education and cooperated with data collection.
Exclusion criteria
Exclusion criteria: 1. People who are allergic to narcotic drugs; 2. There are contraindications of nerve block: such as puncture site infection, severe hematological diseases; 3. People with language communication disorder and inability to complete pain score; 4. People with a long history of alcoholism and opioid dependence; 5. Moderate and severe deformities of knee joint, such as varus and flexion deformities.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Resting visual analogue score (VAS);Timed-up-and-go test time; | — |
Secondary
| Measure | Time frame |
|---|---|
| Intraoperative use of opioid analgesics (sufentanil, remifentanil);Basic intraoperative vital signs (blood pressure, HR, SpO2, BIS);Postoperative adjuvant analgesia;Occurrence of adverse reactions such as puncture site infection, puncture site hematoma, local anesthetic poisoning and peripheral nerve injury 24 hours after operation.; | — |
Countries
China
Contacts
Public ContactWang Yuelan
Department of Anesthesia and Perioperative Medicine, The First Hospital Affiliated with Shandong First Medical University
Outcome results
None listed