Effect of Continuous Adductor Canal Block Versus Continuous Adductor Canal Block With Additional Infiltration Between The Popliteal Artery and Capsule of The Knee (IPACK) After Arthroscopic Knee Surgeries

NCT06802419 | Recruiting

• 1 other identifier: FMASU MD134/2024
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to evaluate the effect of Continuous Adductor Canal Block only versus adding posterior knee block, known as the Infiltration between the Popliteal Artery and Capsule of the Knee (IPACK) block with Continuous Adductor Canal Block (CACB) after arthroscopic knee surgeries.

Conditions

Continuous Adductor Canal Block; Infiltration Between The Popliteal Artery and Capsule of The Knee; Arthroscopic Knee Surgeries

Outcome Measures

Primary Outcomes (1)

• Degree of pain

  The degree of pain will be assessed using the Visual Analogue Scale (VAS). VAS score is determined by measuring the distance (mm) on the 10-cm line between the "no pain" anchor and the patient's mark, providing a range of scores from 0-100. No pain (0-4 mm), mild pain (5-44 mm), moderate pain (45-74 mm), and severe pain (75-100 mm).

  24 hours postoperatively

Secondary Outcomes (4)

• Total Nalbuphine consumption

  24 hours postoperatively

• Straight leg rise

  24 hours postoperatively

• Range of motion

  24 hours postoperatively

• Rate of complications

  24 hours postoperatively

Study Arms (2)

Group 1

EXPERIMENTAL

Patients will receive continuous adductor canal block.

Other: Continuous adductor canal block

Group 2

EXPERIMENTAL

Patients will receive Continuous Adductor Canal Block with additional Infiltration between The Popliteal Artery and Capsule of The Knee

Other: Continuous Adductor Canal Block with additional Infiltration between The Popliteal Artery and Capsule

Interventions

Continuous adductor canal block OTHER

Patients will receive continuous adductor canal block.

Group 1

Continuous Adductor Canal Block with additional Infiltration between The Popliteal Artery and Capsule OTHER

Patients will receive Continuous Adductor Canal Block with additional Infiltration between The Popliteal Artery and Capsule of The Knee

Group 2

Eligibility Criteria

• Age: 21 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age from 21 to 65 years.
• Both sexes.
• American Society of Anesthesiologists (ASA) Physical Status Class I to II.
• Patients with successful spinal anesthesia.
• Patients scheduled for elective arthroscopic knee surgery for anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) repair.

You may not qualify if:

• Declining to give written informed consent.
• History of allergy to the medications used in the study.
• Contraindications to regional anesthesia (including coagulopathy and local infection).
• Polytrauma patients having lower limb fractures.
• Patients with pre-existing myopathy or neuropathy on the operating limb.
• Patients with diabetes mellitus.
• Psychiatric disorder.
• Morbid obesity \[body mass index (BMI) \> 45kg/m2\].
• Complicated Surgery.

Sponsors & Collaborators

• Ain Shams University: lead

Study Sites (1)

Ain Shams University

Cairo, 11591, Egypt

RECRUITING

MeSH Terms

Interventions

Capsules

Intervention Hierarchy (Ancestors)

Dosage Forms; Pharmaceutical Preparations

Central Study Contacts

Nada E Hussein, Master

CONTACT

00201112449418; Nadahussein@med.asu.edu.eg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Lecturer of Anesthesiology, Intensive Care and Pain Medicine, Faculty of Medicine, Ain shams University, Cairo, Egypt.

Study Record Dates

• First Submitted: January 21, 2025
• First Posted: January 31, 2025
• Study Start: January 30, 2025
• Primary Completion: October 1, 2025
• Study Completion: October 1, 2025
• Last Updated: January 31, 2025

Record last verified: 2025-01

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: After the end of study for one year.
• Access Criteria: The data will be available upon a reasonable request from the corresponding author.

Locations

EG (1)