Anterior Cruciate Ligament, Surgery
Conditions
Keywords
anterior cruciate ligament reconstruction, obturator nerve block, sciatic nerve block, femoral nerve block, posterior lumbar plexus block, ultrasound guided nerve block
Brief summary
Anterior Cruciate Ligament ACL reconstruction can be performed under the combination of posterior lumbar plexus block plus sciatic nerve block. The investigators can have the same outcome by performing instead of posterior lumbar plexus block more peripheral nerve blocks. More specifically under the combination of sciatic nerve block plus femoral nerve block plus obturator nerve block.
Interventions
Ultrasound guided blocks with ropivacaine
Ultrasound and neurostimulator nerve blocks with ropivacaine
Sponsors
Larissa University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Masking description
The patient, the orphopaedic surgeon and the anesthesiologist in the OR did not know at which group the patient belonged to.
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Age 18-50 years old * ASA I - II * ACL reconstruction surgery
Exclusion criteria
* Coagulopathy disorders * Infection at the puncture site for the interscalene block * Neurologic deficit in the arm that is going to be operated * Allergy to local anesthetics * BMI \> 35 * Psychiatric disorders * Patient's refusal * Problems with patient communication
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of ACL reconstruction surgery under ultrasound guided sciatic nerve block plus femoral nerve block plus obturator nerve block measured with Pain Score on the Visual Analog Scale | 45 min | If the patient complains for pain \> 4 in VAS and there is no relief with fentanyl administration the anesthesia plan converts to general anesthesia with laryngeal mask |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative opioid consumption for ACL reconstruction surgery under ultrasound guided sciatic nerve block plus femoral nerve block plus obturator nerve block | 24h |
| Intraoperative opioid consumption for ACL reconstruction surgery under ultrasound guided sciatic nerve block plus femoral nerve block plus obturator nerve block | Intraoperatively |
Countries
Greece
Outcome results
None listed