Early Mobility, Post-operative Analgesia
Conditions
Keywords
femoral block, knee surgery, sciatic nerve block, IPACK block, Adductor Canal Block, post-operative analgesia
Brief summary
Comparison of the combination of popliteal sciatic and femoral block with the combination of ipack adductor canal blocks and mobilization and analgesia duration in elective knee surgeries
Detailed description
There is concern that about half of patients with elective knee surgery report severe knee pain immediately after surgery. Optimal postoperative knee analgesia is important not only for patient comfort and satisfaction, but also to accelerate mobilization, functional recovery, and hospital discharge. To facilitate earlier ambulation and provide superior pain control, while striving for shorter hospital stays and same-day discharge for patients There is an increasing emphasis on multimodal analgesia and motor sparing regional anesthesia blocks. To compare the postoperative analgesic efficacy of ipack adductor canal and femoral popliteal sciatic blocks in elective knee surgeries, and the first mobilization (bromage 0) times of motor block after spinal anesthesia. Our primary aim is to compare the ipack adductor canal block added after spinal anesthesia in elective knee surgeries with the combination of femoral + popliteal sciatic block. post of blocks To evaluate the operative mobilization (bromage 0) and analgesia times. Our secondary aims are to evaluate the first 4, 8, 12, 24 hours VAS (visual analog scale) values, first analgesia time, post op 1 hour bromage scores, postoperative nausea, vomiting, and discharge times, side effects. compare the incidence of effects.
Interventions
COMBINATION_PRODUCTcombination femoral nerve and popliteal sciatica block
Combination of femoral nerve and popliteal sciatica block performed after knee surgery
COMBINATION_PRODUCTcombination adductor canal and IPACK block
Combination of adductor canal and IPACK block performed after knee surgery
Sponsors
Gaziosmanpasa Research and Education Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
knee operation, \-
Exclusion criteria
Patients who did not consent to the procedure, those with coagulopathy, a known allergy to local anesthetics, a BMI \> 35 kg/m², chronic analgesic and opioid use, mental or psychiatric disorders, or inability -
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postoperative first mobilization time | 24 hour | After receiving spinal anesthesia, patients undergoing elective knee surgery were taken to the operating room. Postoperatively, patients were randomly assigned into two groups using a closed-envelope method. In the first group, patients in the supine position received an adductor canal block with 20 ml of 0.025% bupivacaine and an IPACK block with an additional 20 ml of 0.025% bupivacaine. In the second group, patients in the supine position received a femoral nerve block with 20 ml of 0.025% bupivacaine and a sciatic nerve block administered via the popliteal region with an additional 20 ml of 0.025% bupivacaine. Motor block, analgesia, and mobilization times were assessed at the 2nd, 4th, 8th, and 24th hours postoperatively.In the postoperative period, patients' motor functions were assessed at specific intervals (e.g., at the 2nd, 4th, 8th, 12th and 24th hours) using the Bromage Scale. During each assessment, patients were asked to move their hip, knee, and ankle joints. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Numerical Rating Scale (NRS) Scores | 24 hour | NRS scores were evaluated at the 2nd, 4th, 8th, 12th, and 24th hours. The Numerical Rating Scale (NRS) is a pain assessment tool where patients rate their pain intensity on a scale from 0 to 10, with 0 indicating no pain and 10 representing the worst pain imaginable. |
Countries
Turkey (Türkiye)
Outcome results
None listed