Anaesthesia
Conditions
Interventions
spinal anesthesia with Adductor canal block only
Patients will recieve adductor canal block followed by IPACK block before total knee arthroplasty
Sponsors
faculty of medicine .ain shams university
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: ? No sex predilection. ? Age group: ranges from 45 to 60 years ? Physical Status: ASA I , II and III (controlled) patients after taking written and informed consent ? Subjected to unilateral total knee arthroplasty.
Exclusion criteria
Exclusion criteria: ? Refusal of procedure or participation in the study by patients. ? Physical status: ASA IV or above ? Subjects presenting with allergy to local anesthetics, alcohol or drug abuse. ? Inability to cooperate ? Neuromuscular pathology ? Previous trauma or surgery to the leg. ? Opioids or steroids intake within the last 4 weeks or any analgesics during the last 48 hours. ? contraindications to spinal anesthesia as coagulopathies and severe aortic stenosis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| ?Measuring post operative pain by using Visual Analog Scale (VAS) in the first 24 hours postoperative of the study ? Time recorded for first rescue analgesia which is defined as the time after finishing the block till the patient’s first analgesic requirement postoperative in the ward. | — |
Secondary
| Measure | Time frame |
|---|---|
| ? Total opioides (pethidine) consumption. ? Range of motion and ambulation distance assessed by the number of steps walked by the patient after the end of effect of spinal anesthesia given. | — |
Countries
Egypt
Contacts
Public ContactMarina Mohsen
Assistant Lecturer in departement of Anesthesia Faculty of Medicine Ain Shams University
Outcome results
None listed