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Clinical Trial Details — Status: Not yet recruiting

Administrative data

NCT number NCT05587166
Other study ID # MD-63-2021
Secondary ID
Status Not yet recruiting
Phase N/A
First received
Last updated
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
Health authority
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

Study Design


Related Conditions & MeSH terms


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
See also
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Completed NCT02125903 - Comparison of Continuous Femoral Nerve Block and Adductor Canal Block After Total Knee Replacement Therapy N/A
Not yet recruiting NCT06398717 - Effect of Combining Peri-hamstring Injection or Anterior Obturator Nerve Block on the Analgesic Efficacy of Adductor Canal Block for Arthroscopic Anterior Cruciate Ligament Reconstruction Under General Anesthesia N/A
Completed NCT03008564 - Adductor Canal Block Ultrasound Anatomy in Volunteers N/A
Completed NCT04968392 - Single-shot Adductor Canal Block With Levobupivacaine and Dexmedetomidine in Total Knee Arthroplasty Phase 2/Phase 3
Recruiting NCT05742958 - The Quality of Recovery After Intrathecal Morphine or Adductor Canal Block in Anterior Cruciate Ligament Reconstruction Phase 4
Recruiting NCT05981105 - Enhanced Recovery After Major Surgery and Chronic Pain for Total Knee Arthroplasty N/A
Completed NCT02554864 - Location of Injection of Local Anesthetics in the Adductor Canal Block N/A
Completed NCT02991404 - Single Injection Adductor Canal Block Versus Continuous Adductor Canal Infusion for Total Knee Arthroplasty Early Phase 1
Withdrawn NCT04539730 - Liposomal Bupivacaine in Adductor Canal Blocks (ACB) Phase 4
Not yet recruiting NCT03486548 - Analgesic Efficacy of Adding SCB With Low Concentration Bupivacaine Combined With Dexamethasone on Pain After TKA Phase 4