Post Operative Pain
Conditions
Brief summary
One of the most common injuries to the knee is an anterior cruciate ligament (ACL) sprain or tear due to trauma ACL damage is crippling and often requires repair with an arthroscopic method, which is an outpatient surgery. Nevertheless, patients experience severe postoperative pain on the first day after the ACL reconstruction.Efficient postsurgery pain management is an important part of patient recovery that is also crucial for their satisfaction.
Detailed description
The optimum role of peripheral nerve blocks in ACL reconstruction continue to be debated as a component of multi-modal analgesia . As such ,an ideal block for ACLR would target sensation but not motor function,have minimal complication risk,and be easily reproducible The genicular nerves include branches from the femoral, common peroneal, saphenous, tibial, and obturator nerves which innervate the knee capsule . The superolateral, superomedial, and inferomedial On the other hand, the interspace between the Popliteal Artery and Capsule of the Knee (IPACK) block provides analgesia on the posterior knee joint, and the application of a genicular or IPACK block has been be associated with promising outcomes following the ACLR surgery
Interventions
PROCEDUREGenicular nerve block
patients who receive Genicular nerve block with spinal anathesia .
Sponsors
Beni-Suef University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Caregiver)
Eligibility
Sex/Gender
ALL
Age
15 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
\- Patient age from 18 to 45 years old Patient status ASA I - II Patient body mass index (BMI) \<40 kg/m2
Exclusion criteria
* -Patients were excluded if they refused consent. * Patients who are Not cooperative. * BMI \>40 kg/m2. * Allergy to local anesthetics. * Patients with anticoagulation or bleeding problems. * Previous nerve dysfunction. * Physical status ASA class IV.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| VAS score | 48 hour | Measuring pain intensity regarding mean visual analogue score (VAS score ) ranging from 0 (no pain) to 10 (the worst imaginable pain. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ambulatory score | Within 48 hour | Ambulatory score from ( 0 to 2) (score of 0) is assigned if the activity cannot be performed despite substantial help (score of 1 )is assigned if the activity is performed using personal physical support. (score of 2) is assigned if the activity is performed independently. |
| Time of first rescue analgesia | within 24 hour | the time to ask for the first post operative analgesia |
| Total opioid consumption post operative | Within 24 hour | Total opioid consumption post operative |
| Incidence of occurrence of systemic toxicity | Within 24 hour | ( hypotension ,arrthymias, bradycardia, cardiac arrest, oral numbness and convulsions |
| The length of hospital stay . | within one week | The length of hospital stay . |
Countries
Egypt
Contacts
Primary ContactMariana AbdElsayed Mansour
Outcome results
None listed