postoperative pain score postoperative morphine consumption rehabilitation after surgery adductor canal block Randomized Controlled Trial Aged Analgesia,
Conditions
Interventions
patient will receive single shot adductor canal block under ultrasound-
guided using 0.5% levobupivacaine 20 ml combine with local infiltration analgesia using 0.25% levobupivacaine 80 ml,
morphine 5 mg and adrenaline 300 mcg.,patient will receive single shot adductor canal block under ultrasound-
guided using 0.5% levobupivacaine 20 ml combine with local infiltration using normal saline 80 ml.
Experimental Procedure/Surgery,Active Comparator Procedure/Surgery
single shot adductor canal block combined with local infiltration analgesia,single shot adductor canal block alone
Sponsors
none
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: age > 18 years ASA physical status 1-3 no contraindication of neuraxial anesthesia
Exclusion criteria
Exclusion criteria: refuse to participate this study allergy to drug using in this study age 3 contraindication to neuraxial anesthesia uncontrolled hypertension or Blood pressure greater than 140/90 mmmHg history of heart failure, cerebrovascular disease, cardiac surgery, coronary artery disease history of upper GI bleeding, gastric ulcer history of abnormal liver enzyme, hepatic failure, renal failure, organ transplantation, coagulopathy chronic opiod user defined as using opiods drug almost/everyday for three consecutive months or more than 60 mg/day for one month neuropathic pain failure to single shot adductor canal block inability to cooperate with Time Up and Go Test before surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rehabilitation after surgery on postoperative day 2 The Timed Up and Go test (TUG) | — |
Secondary
| Measure | Time frame |
|---|---|
| morphine consumption postoperative 24 hours postoperative 24 hours mg of morphine consumption using PCA device,morphine consumption postoperative 48 hours postoperative 48 hours mg of morphine consumption using PCA device,Pain score postoperative 6,12,18 hours postoperative 6,12,18 hours visual analog scale,pain score at rest, sit, flexion, extension postoperative postoperative day 1 in the morning and evening visual analog scale,pain score at rest, sit, stand, walk postoperative postoperative day 2,3 visual analog scale,degree of knee flexion(active and passive) postoperative postoperative day2,3 degree of range of motion,Rehabilitation after surgery on postoperative day 3 The Timed Up and Go test (TUG),pain score postoperative 2,6,12 weeks postoperative 2,6,12 weeks visual analog scale,Rehabilitation after surgery postoperative 2,6,12 weeks The Timed Up and Go test (TUG),Quadriceps strength postoperative day1,2 postoperative day 2,3 maximum voluntary isometric contraction | — |
Countries
Thailand
Contacts
Public ContactWireena Kampitak
unaffiliated
Outcome results
None listed