Comparison of Perioperative Analgesic Efficacy of Femoral Nerve Block, Adductor Canal Block and 4in1 Block
Study Details
Study Description
Brief Summary
Central neuraxial and regional anesthesia and analgesia techniques significantly reduce perioperative morbidity and mortality in the knee and below-knee surgeries.Nerve blocks appear to have better analgesic efficacy compared to placebo or patient-controlled analgesia (PCA). In addition, opioid-related side effects such as postoperative nausea, vomiting, pruritus, sedation, and respiratory depression are less. Therefore, interest in regional blocks such as femoral, sciatic, adductor, combined femoral, and sciatic is increasing. The knee joint is innervated by various nerves (genicular nerves) from the femoral, obturator, and sciatic nerves, and a comprehensive but simple technique is needed for postoperative analgesia. Complete and comprehensive postoperative analgesia was possible with this block, a simple single injection technique. The aim of our study is to evaluate the intraoperative analgesia efficacy of femoral, adductor canal block, and 4in1 block in patients who will undergo knee surgery.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: femoral nerve block To evaluate the intraoperative analgesia effectiveness of femoral nerve block in patients who will have knee surgery. |
Other: femoral nerve block
To evaluate the intraoperative analgesia effectiveness of femoral block in patients who will have knee surgery.
|
| Experimental: adductor canal block To evaluate the intraoperative analgesia effectiveness of adductor canal block in patients who will have knee surgery. |
Other: adductor canal block
To evaluate the intraoperative analgesia effectiveness of adductor canal block in patients who will have knee surgery.
|
| Experimental: 4in1 block To evaluate the intraoperative analgesia effectiveness of 4in1 block in patients who will have knee surgery. |
Other: 4in1 block
To evaluate the intraoperative analgesia effectiveness of 4in1 block in patients who will have knee surgery.
|
Outcome Measures
Primary Outcome Measures
- intraoperative analgesia efficacy [perioperative period]
The aim of our study is to evaluate the intraoperative analgesia efficacy of femoral, adductor canal block and 4in1 block in patients who will undergo knee surgery.
Secondary Outcome Measures
- postoperative analgesia efficacy [perioperative period]
The aim of our study is to evaluate the postoperative analgesia efficacy of femoral, adductor canal block and 4in1 block in patients who will undergo knee surgery.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Patients between the ages of >18
-
undergone knee surgery
-
American Society of Anesthesiologists (ASA) classification I-III group.
Exclusion Criteria:
- Patients who do not want to participate in the study coagulopathy peripheral neuropathy local anesthetic drug allergy chronic opioid users anticoagulant users pregnant patients
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | University of Medical Science, Yıldırım Beyazıt Training and Research Hospital | Ankara | Turkey | 06000 |
Sponsors and Collaborators
- Diskapi Yildirim Beyazit Education and Research Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Rodgers A, Walker N, Schug S, McKee A, Kehlet H, van Zundert A, Sage D, Futter M, Saville G, Clark T, MacMahon S. Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised trials. BMJ. 2000 Dec 16;321(7275):1493. doi: 10.1136/bmj.321.7275.1493.
- Roy R, Agarwal G, Pradhan C, Kuanar D. Total postoperative analgesia for total knee arthroplasty: Ultrasound guided single injection modified 4 in 1 block. J Anaesthesiol Clin Pharmacol. 2020 Apr-Jun;36(2):261-264. doi: 10.4103/joacp.JOACP_260_19. Epub 2020 Jun 15.
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