Anterior Cruciate Ligament Injuries Meniscus Tear Adductor Canal Block Pain Control Anterior Cruciate Ligament Injuries Meniscus Tear Adductor Canal Block Pain Control
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients aged between 25 and 55 years. Bodyweight > 40 kg BMI between 18 - 35 kg/m ASA physical status of I or II Written informed consent obtained from the patients, stating I appreciate the opportunity to participate in this study, along with their signature.
Exclusion criteria
Exclusion criteria: Adults who are unable to provide their own consent. Pre-existing lower extremities weakness Patients who show signs of infection at the site of the block BMI>35kg/m2 Allergy or contraindication to any drug used in this study Coagulopathy (assessed through medical history and physical examination, and if clinically necessary, through blood tests, e.g., platelet count =< 100,000 cells/mm3, INR >= 1.4) Chronic pain syndromes requiring the use of chronic opioids History of kidney impairment (estimated GFR < 60ml/min) History of liver dysfunction (history of cirrhosis, portal hypertension or variceal bleeding, AST, ALT >= 50 IU/L) Pregnancy Refusal to participate or withdrawal of consent at any stage of the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain intensity immediate after surgery The numerical rating scale (NRS) score | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain intensity before discharge and 24 hours post-operatively by phone The numerical rating scale (NRS) score,Opioid consumption during surgery and after surgery, before discharge The total amount of morphine milligram equivalent (MME),Time to first opioid request immediately after the block performance until discharge Duration from the end of the block performance to the time at which point the first dose of rescue opioid is requested,Quadriceps strength before discharge at the ambulatory surgical unit Muscle strength grading of quadriceps as follows; 0: no movement, 1: flicker of movement, 2 : movement without gravity, 3: movement against gravity, 4: against weak resistance, 5: normal power,Patient satisfaction assessed by five-point Likert scale 24 hours post-operatively by phone Satisfaction assessed using a five-point Likert scale ranging from 1 (very dissatisfied) to 5 (very satisfied) at 24 hours | — |
Countries
Thailand
Contacts
Department of Anesthesiology, Faculty of Medicine Ramathibodi Hospital, Mahidol University