Pain, Postoperative Clinical Trial
Official title:
The Comparison of Postoperative Analgesia Between Adductor Canal Block and Femoral Nerve Block After Arthroscopic ACL Reconstruction With Hamstring Graft: A Randomized Controlled Trial
Verified date | January 2016 |
Source | Thammasat University |
Contact | n/a |
Is FDA regulated | No |
Health authority | Thailand: Institutional Review Board |
Study type | Interventional |
The aim of this study is to compare the efficacy in pain relief within 24 hours between adductor canal block and femoral nerve block after anterior cruciate ligament reconstruction with hamstring graft.
Status | Completed |
Enrollment | 60 |
Est. completion date | December 2015 |
Est. primary completion date | December 2015 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 15 Years to 80 Years |
Eligibility |
Inclusion Criteria: - arthroscopic anterior cruciate ligament reconstruction with hamstring graft at Thammasat University Hospital. - age 15-80 years - ASA class I-III Exclusion Criteria: - refuse to participate the study - morbid obesity (BMI = 35 kg.m2) - allergic to any medication in the study - chronic opioid use or abuse - lower extremity neurological dysfunction - patients who cannot cooperate and assess pain score themselves. |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Outcomes Assessor), Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Thailand | Thammasat University Hospital | Khlong Luang | Pathum Thani |
Lead Sponsor | Collaborator |
---|---|
Thammasat University |
Thailand,
Beck PR, Nho SJ, Balin J, Badrinath SK, Bush-Joseph CA, Bach BR Jr, Hayden JK. Postoperative pain management after anterior cruciate ligament reconstruction. J Knee Surg. 2004 Jan;17(1):18-23. — View Citation
Chisholm MF, Bang H, Maalouf DB, Marcello D, Lotano MA, Marx RG, Liguori GA, Zayas VM, Gordon MA, Jacobs J, YaDeau JT. Postoperative Analgesia with Saphenous Block Appears Equivalent to Femoral Nerve Block in ACL Reconstruction. HSS J. 2014 Oct;10(3):245- — View Citation
Hanson NA, Derby RE, Auyong DB, Salinas FV, Delucca C, Nagy R, Yu Z, Slee AE. Ultrasound-guided adductor canal block for arthroscopic medial meniscectomy: a randomized, double-blind trial. Can J Anaesth. 2013 Sep;60(9):874-80. doi: 10.1007/s12630-013-9992 — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Pain score (VAS) during activity | Pain score during activity measured on Visual Analog Scale postoperative 24 hours. Adductor canal block VS Femoral nerve block | 24 hours postoperative | No |
Secondary | Opioid consumption | Intravenous morphine consumption (milligrams) during 0-24 hours from patient controlled analgesia. Adductor canal block vs Femoral nerve blockanalgesia. | 0-24 hours postoperative | No |
Secondary | Pain score (VAS) at rest | Adductor canal block vs Femoral nerve block | 4, 8, 12, 16, 20, 24 hours postoperative | No |
Secondary | Pain score (VAS) at activity | Adductor canal block vs Femoral nerve block | 4, 8, 12, 16, 20 hours postoperative, and during quadriceps strength testing | No |
Secondary | duration (hours) after surgery-first time that patients pressing PCA | Adductor canal block vs Femoral nerve block | 0-24 hours postoperative | No |
Secondary | The reduction of quadriceps strength from preoperative period both knees | Quadriceps strength measured on the maximum voluntary isometric contraction with hand-held dynamometer. Adductor canal block vs Femoral nerve block | 8-12, 24 hours | No |
Secondary | Postoperative nausea and vomiting | Rating scale 0-2. Adductor canal block vs Femoral nerve block | 0-24 hours postoperative | No |
Secondary | Postoperative pruritus or rash | Rating scale 0-2. Adductor canal block vs Femoral nerve block | 0-24 hours postoperative | No |
Secondary | Postoperative urinary retention | Dichotomous outcome (Yes/No). Adductor canal block vs Femoral nerve block | 0-24 hours postoperative | No |
Secondary | Postoperative respiratory depression | Dichotomous outcome (Yes/No). Adductor canal block vs Femoral nerve block | 0-24 hours postoperative | No |
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