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Comparison between nerve blocks and spinal morphine for pain control after total knee replacement

Adductor canal block combined with iPACK block versus intrathecal morphine: Analgesia in total knee arthroplasty

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
PACTR
Registry ID
PACTR202603476114221
Enrollment
70
Registered
2026-03-24
Start date
2024-07-01
Completion date
Unknown
Last updated
2026-09-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Orthopaedics Anaesthesia

Interventions

Sponsors

Ben Arous Trauma and Major Burns Center
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Age = 18 years Classified as American Society of Anesthesiologists (ASA) physical status = 3 Scheduled for total knee arthroplasty under spinal anesthesia Able to understand the principles of the Visual Analog Scale (VAS) for pain assessment Provided written informed consent during the pre-anesthesia visit

Exclusion criteria

Exclusion criteria: Failure of spinal anesthesia Failure of the peripheral nerve block Occurrence of a serious anesthesia- or surgery-related complication Patient refusal Inability to understand pain assessment using the Visual Analog Scale (VAS) Presence of a contraindication to spinal anesthesia Known allergy to non-steroidal anti-inflammatory drugs (NSAIDs), paracetamol, or local anesthetics Chronic treatment with gabapentin (regular use for more than three months) or opioids (use for more than three months, or the equivalent of at least 5 mg morphine per day for one month)

Design outcomes

Primary

MeasureTime frame
Postoperative pain intensity measured by the Visual Analog Scale (VAS) at rest and during movement

Secondary

MeasureTime frame
Cumulative morphine consumption;Time to first ambulation;Incidence of postoperative nausea and vomiting (PONV);Occurrence of pruritus;Length of hospital stay;Patient satisfaction

Countries

Tunisia

Contacts

Public ContactSabrine Ben Brahem

Assistant Professor of Anesthesiology and Intensive Care

sabrine.benbrahem@fmt.utm.tn+21626634140

Outcome results

None listed

Source: PACTR (via WHO ICTRP) · Data processed: Sep 19, 2026