tibial fractures, ankle surgeries, foot surgeries, high-volume adductor canal block, adductor canal block, popliteal sciatic nerve block, postoperative analgesia , below-knee surgeries.
Conditions
Interventions
Single-shot high-volume adductor canal block using 30 to 40 mL of local anesthetic.,Single-shot adductor canal block 10 to 20 mL plus popliteal sciatic nerve block 20 mL
Experimental Procedure/Surgery,Active Comparator Procedure/Surgery
High-volume adductor canal block (Hi-ACB),Combined adductor canal block + popliteal sciatic nerve block.
Sponsors
Hue University of Medicine and Pharmacy Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. Age: From 18 years 2. ASA physical status I, II 3. Scheduled for below-knee orthopedic surgery under spinal anesthesia 4. Provided written informed consent
Exclusion criteria
Exclusion criteria: 1. Allergy to local anesthetics or study drugs 2. Contraindications to peripheral nerve block (infection, coagulopathy, neurologic disorders, etc.) 3. Psychiatric disorders or substance abuse history 4. Failed spinal anesthesia or intraoperative complications requiring exclusion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain score H0, H1, H2, H4, H6, H8, H12, H18, H24 VAS at rest and during movement | — |
Secondary
| Measure | Time frame |
|---|---|
| Time to first request of rescue analgesia From end surgery to first request hour,Total postoperative morphine consumption (mg) within 24 hours. 24h mg | — |
Countries
Vietnam
Contacts
Public ContactThinh Tran
Hue University of Medicine and Pharmacy
Outcome results
None listed