Ultrasound-Guided Oblique Short-Axis Adductor Canal Block.

Adductor Canal Block Clinical Trial

Official title:

Ultrasound-Guided Oblique Short-Axis Adductor Canal Block: Can the Oblique Approach Facilitate Perineural Catheter Insertion: A Randomized Controlled Trial

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT05587166
• Other study ID #: MD-63-2021
• Status: Not yet recruiting
• Phase: N/A
• Start date: November 15, 2022
• Est. completion date: April 15, 2023

Study information

• Verified date: October 2022
• Source: Cairo University
• Contact: Abeer Ahmed
• Phone: 01005244590
• Email: abeer_ahmed[@]kasralainy.edu.eg
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The ideal pain management for knee surgery should provide excellent analgesia while minimizing opioid consumption and allowing early mobilization and rehabilitation.

The use of the continuous technique in ACB allows the delivery of a larger quantity of local anaesthetic into the adductor canal than in the single-shot technique.

The usual approach for ultrasound-guided ACB catheter insertion is through short-axis in-plane approach in which the ultrasound transducer is applied horizontally over the femoral artery and saphenous nerve. In this approach, the catheter is inserted through a 90-degree angulation with the nerve which might make the catheter insertion difficult.

In the new oblique position, the catheter will be inserted in a less than 90-degree angulation. This study speculates that decreasing the angle of catheter insertion will make catheter insertion easier and faster.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 50
• Est. completion date: April 15, 2023
• Est. primary completion date: March 15, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 70 Years

Eligibility

Inclusion Criteria:

• adult patients more than 18 years

• ASA I-III

• scheduled for unilateral knee surgery under spinal anesthesia with an adductor canal perineural catheter planned for postoperative pain control

Exclusion Criteria:

• Patient who had an allergy to any drug used in the study

• Patients with neuropathy of any etiology in the affected extremity, hepatic or renal failure.

• pregnant females

• Patients who are unable to communicate with the investigators and hospital staff

Related Conditions & MeSH terms

• Adductor Canal Block

Intervention

Other:
• ultrasound guided adductor canal block
ultrasound-guided adductor canal block using oblique short-axis for catheter insertion

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Cairo University

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	catheter placement time (minutes)		starting from time of syringe removal from placement needle to time of complete threading of the catheter at 20-cm mark measured in minutes and over 20 minutes