Surgery
Conditions
Interventions
Femoral nerve block
Sponsors
Eldemerdash hospitals
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Elective unilateral TKR under spinal anesthesia. Patients aged between 40 and 85 years. American Society of Anesthesiologists (ASA) physical status classification I –III. Both sexes.
Exclusion criteria
Exclusion criteria: Contraindication for neuraxial anesthesia or nerve block (bleeding diathesis, pre-existing lower extremity neuromuscular disorder, local infection, or sepsis). Allergy or contraindication to the drugs used in the study (local anesthetic, NSAIDs, opioids). Declining to give written informed consent. Psychiatric disorder. American Society of Anesthesiologists (ASA) Physical Status Class IV and more.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Assessment of ambulation as determined by timed up and go test (TUG) that measures the time needed by the patient to stand from sitting position, walk 3 meters, turn around, walk back to the chair and sit down. The patient had one trial and the test was considered passed if the score was less than three minutes and 30 seconds. 10-min walk test that measures the time needed by the patient to walk 10 meters. These tests were only performed if the patient feels that it was possible to rise and walk without the risk of falling and both tests were done twice on the first-day post-operative every 12 hours. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1-The visual analogue scale (VAS) for pain used to assess the postoperative pain was evaluated postoperatively and every 2 hours during the first 6 hours and then every 6 hours there for the remaining 24 hours postoperatively. 2- Total dose of rescue analgesic consumption every 12 h post operative for the first 24 h. 3- Heart rate and mean arterial blood pressure were assessed every 2 hours during the first 6 hours and then every 6 hours there for the remaining 24 hours postoperatively. | — |
Countries
Egypt
Contacts
Public ContactMostafa Mansour
Associate professor of anesthesia
Outcome results
None listed