dynamic pain intensity during physical therapy in the acute postoperative period at post-operative day 1 by using the numerical rating scale (NRS) between continuous femoral triangle block (CFTB) and single-shot femoral triangle block (SFTB) in patients undergoing TKA. Femoral triangle block Total knee arthroplasty Total knee replacements Pain management
Conditions
Interventions
Femoral triangle block using a bolus injection of 15 ml of 0.25% bupivacaine followed by continuous infusion of 0.1% bupivacaine at a rate of 3ml/h will be maintained for 48 hours using a continuous i
Experimental Procedure/Surgery,Active Comparator Procedure/Surgery
Continuous femoral triangle block,Single bolus femoral triangle block
Sponsors
Faculty of Medicine, Chiang Mai University
Eligibility
Sex/Gender
All
Age
50 Years to 70 Years
Inclusion criteria
Inclusion criteria: 1. Patients age 50 - 70 years old 2. American Society of Anesthesia (ASA) physical status I-III 3. Undergone the first time for TKA
Exclusion criteria
Exclusion criteria: 1. Patients who were refused to participate in this trial 2. Patients who contraindicated to peripheral nerve block ex. Allergic to bupivacaine, NSAIDS and dexamethasone, coagulopathy, local infection at injection area 3. Patients with renal or hepatic failure 4. History of chronic strong opioid use, and drug addiction 5. Morbid obesity (BMI >40 kg/m2) 6. Severe cognitive impairment or language problems 7. Patients who cannot ambulation, disability and status bed ridden 8. Patients who refused to pay to the postoperative continuous infusion of local anesthesia set.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain intensity during physical therapy in the acute postoperative period 0-48 hours postoperatively Evaluate pain score by using Numeric Rating Scale (NRS, score 0-10) | — |
Secondary
| Measure | Time frame |
|---|---|
| Post operative pain intensity at rest and movement At 6th, 12th, 24th, 36th, 48th and 72nd hours post-operation Evaluate pain score by using Numeric Rating Scale (NRS, score 0-10),Cumulative morphine consumption At 6th, 12th, 24th, 36th, 48th and 72nd hours post-operation Total morphine consumption (measured in miligrams)at 6th, 12th, 24th, 36th, 48th and 72nd hours post-operation,Range of motion (ROM) of knee extension and flexion 0-48 hours postoperatively Degrees of range of motion (ROM) of knee extension and flexion,Ability to do home exercise program for TKA rehabilitation 0-72 hr postoperatively Ability to walk on level surface with appropriate arm aid, movement ascending/descending 1 steps or more within 3 days and able to do home exercise program for TKA rehabilitation,Hospital length of stay Post operative Days of postoperative length of stay,Patient satisfaction At 2 weeks and 1 month post-operative Meusure by using patient global impression of change (PGIC) score | — |
Countries
Thailand
Contacts
Public ContactArtid Samerchua
Faculty of Medicine, Chiang Mai University
Outcome results
None listed