Clinical Impact of IPACK Block Addition to Suprainguinal Fascia Iliaca Block

NCT06054945 | Completed

• 1 other identifier: SIFIB+IPACK
• Study Type: observational
• Target: 88
• Locations: 1 country
• Sites: 1

Brief Summary

In our clinic, routine suprainguinal fascia iliaca block (SIFIB) has been administered for postoperative analgesia in patients undergoing knee arthroplasty. Recently, we have introduced the IPACK (Infiltration between the Popliteal Artery and Capsule of the Knee) block to this regimen, and the aim of this retrospective study is to determine whether the addition of the IPACK block enhances the quality of analgesia. Knee arthroplasty, also known as knee joint replacement surgery, is a common procedure performed to alleviate pain and improve joint function in patients with knee osteoarthritis or other knee-related conditions. Postoperative pain management is crucial for patient comfort and overall recovery. In this study, we aimed to compare the two techniques mentioned earlier, namely the SIFIB (Suprainguinal Fascia Iliaca Block) and the SIFIB+IPACK, by examining the data of patients who underwent knee arthroplasty under spinal anesthesia at our clinic between January 1, 2023, and September 1, 2023.

Conditions

Analgesia; Pain Management; Acute Pain

Keywords

analgesia; IPACK; SIFIB

Outcome Measures

Primary Outcomes (1)

• Opioid consumption

  Opioid consumption via PCA device

  24 hours

Secondary Outcomes (1)

• NRS scores

  24 hours

Study Arms (2)

SIFIB

Patients who underwent SIFIB in knee arthroplasty patients under spinal anesthesia will be evaluated retrospectively in terms of opioid consumption and NRS scores.

Procedure: SIFIB (suprainguinal fascia iliaca block); Device: Patient controlled anagesia device

SIFIB+IPACK

Patients who underwent SIFIB+IPACK blocks in knee arthroplasty patients under spinal anesthesia will be evaluated retrospectively in terms of opioid consumption and NRS scores.

Procedure: SIFIB (suprainguinal fascia iliaca block); Other: IPACK (Interspace between the popliteal artery and capsule of the posterior knee ); Device: Patient controlled anagesia device

Interventions

SIFIB (suprainguinal fascia iliaca block) PROCEDURE

Ultrasound guided Suprainguinal Fascia Iliaca Block for Knee Arthroplasty Patients

SIFIB; SIFIB+IPACK

IPACK (Interspace between the popliteal artery and capsule of the posterior knee ) OTHER

Ultrasound guided IPACK (Interspace between the popliteal artery and capsule of the posterior knee ) Block for Knee Arthroplasty Patients

SIFIB+IPACK

Patient controlled anagesia device DEVICE

Those who were administered opioids with PCA as rescue analgesic in the postoperative analgesia plan on the selected dates will be included in the study.

Also known as: PCA

SIFIB; SIFIB+IPACK

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

data of patients underwent total knee arthroplasty under spinal anesthesia between 01.01.2023 and 01.09.2023

You may qualify if:

• Patients meeting the following criteria and whose postoperative follow-up forms were completed in full were included in the study
• Patients underwent total knee arthroplasty (TKA)
• ASA class I to III.
• operated under spinal anesthesia
• patient controlled analjgesia device was used for analgesia

You may not qualify if:

• Patients whose data were inaccessible or had incomplete follow-up forms were excluded from the study to ensure the accuracy and reliability of our analysis.
• PCA device problems in follow up in 24 hours
• anesthesia plans were converted to general anesthesia
• spinal anesthesia failure
• peripheral blocks used other than protocol

Sponsors & Collaborators

• Samsun University: lead

Study Sites (1)

Samsun University

Samsun, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Agnosia; Acute Pain

Interventions

Passive Cutaneous Anaphylaxis

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Skin Tests; Immunologic Tests; Clinical Laboratory Techniques; Diagnostic Techniques and Procedures; Diagnosis; Investigative Techniques; Immunologic Techniques; Antigen-Antibody Reactions; Immune System Phenomena

Study Officials

• Hatice Kusderci, M.D.

  Samsun University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 15, 2023
• First Posted: September 26, 2023
• Study Start: September 3, 2023
• Primary Completion: September 15, 2023
• Study Completion: September 15, 2023
• Last Updated: September 29, 2023

Record last verified: 2023-09

Locations

TU (1)