Adductor Canal Block Versus Lumbar Plexus Block for Post Operative Pain Management After Total Knee Replacement

NCT02853669 | Unknown DMC

• 1 other identifier: adductor canal
• Study Type: interventional
• Target: 26
• Locations: 1 country
• Sites: 1

Brief Summary

Adductor canal block (ACB), Saphenous nerve block, which is a block of a purely sensory nerve which shares in nerve supply of knee joint has a hypothetical advantage of better pain management with less motor affection. Also, it has a clear anatomical landmark that will increase the success rate (femoral artery) (\*).On the other hand, being a branch of the femoral nerve and far distal from the plexus, this can decrease the blocking effectiveness. Likewise, the great variation of the knee nerve supply. This prospective double-blinded randomized controlled trial is comparing ultrasound guided adductor canal block (ACB) versus ultrasound-guided lumbar plexus block (LPB) in patients undergoing total knee arthroplasty aiming at decreasing post-operative pain, helping in early mobilization and better physiotherapy. This study hypothesizes that ACB, compared with LPB, will exhibit less motor, weakness, fewer opioids consumption with the same or better pain score.

Conditions

Pain Management

Outcome Measures

Primary Outcomes (1)

• pain

  pain assessment using visual analogue scale

  2 hours

Study Arms (2)

group (A) lumber plexus block

EXPERIMENTAL

Ultrasound-guided Lumber plexus Block (30 cc of 0.25% of bupivacaine, via a 22-gauge 2-inch Stimuplex A needle) with nerve stimulator confirmation.

Procedure: Ultrasound-guided Lumber Plexus Block

Group (B) adductor canal block

EXPERIMENTAL

ultrasound-guided Adductor Canal Block (15 cc of 0.5% of bupivacaine)

Procedure: adductor canal block

Interventions

Ultrasound-guided Lumber Plexus Block PROCEDURE

(30 cc of 0.25% of bupivacaine, via a 22-gauge 2-inch Stimuplex A needle) with nerve stimulator confirmation. The type of motor response (e.g., quadriceps, patellar) and the minimum current needed were recorded. Ultrasound pictures (preinjection and postinjection) were obtained to verify proper local anesthetic placement.

group (A) lumber plexus block

adductor canal block PROCEDURE

ultrasound-guided Adductor Canal Block (15 cc of 0.5% of bupivacaine)

Also known as: saphenous nerve block

Group (B) adductor canal block

Eligibility Criteria

• Age: 35 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• ASA I-II
• Age more than 25 and less than 80 were included

You may not qualify if:

• Patients with known allergy to the medications to be given
• ASA III, IV
• Age less than 25 or more than 80
• Dementia
• Deafness
• Psychological disease
• Difficult to communicate
• Cannot lay flat
• INR more than 1.5
• Low platelets (less than 100000/ml3) or with significant coagulopathy

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Cairo University

Cairo, Giza Governorate, 1234, Egypt

RECRUITING

MeSH Terms

Conditions

Agnosia

Condition Hierarchy (Ancestors)

Perceptual Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Hassan Ali, LECTURER

  Anesthesia department, faculty of medicine ,Cairo university

  STUDY DIRECTOR

Central Study Contacts

Hassan Ali, lecturer

CONTACT

1001733687; hassan364@hotmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: lecturer in anesthesia department Cairo university

Study Record Dates

• First Submitted: July 24, 2016
• First Posted: August 3, 2016
• Study Start: July 1, 2016
• Primary Completion: July 1, 2017
• Study Completion: September 1, 2017
• Last Updated: August 3, 2016

Record last verified: 2016-07

Locations

EG (1)