Postoperative Analgesia in Bilateral Knee Arthroplasties

Pain, Postoperative Clinical Trial

Official title:

Postoperative Analgesia in Bilateral Knee Arthroplasties:Suprainguinal Fascia Iliaca Compartment Block and Local Infiltration Analgesia

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT06357013
• Other study ID #: 2023-40
• Status: Active, not recruiting
• Start date: January 1, 2024
• Est. completion date: May 30, 2024

Study information

• Verified date: April 2024
• Source: Kocaeli City Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

To observationally compare the analgesic efficacy of LIA and S-FICB techniques and to record the pain scores of patients who underwent bilateral knee operations in the postoperative period.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 60
• Est. completion date: May 30, 2024
• Est. primary completion date: May 1, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 75 Years

Eligibility

Inclusion Criteria:

• Planned elective bilateral knee arthroplasty under spinal anesthesia
• American Society of Anesthesiologists (ASA) risk score I-II
• Patients aged 18-75 years

Exclusion Criteria:

• Those receiving general anesthesia,
• Those with epidural catheters,
• Those who refused to participate in the study,
• Those whose spinal anesthesia failed and returned to general anesthesia,
• Those with a body mass index (BMI) >30 kg/m2,
• History of chronic opioid or corticosteroid use,
• Patients with psychiatric or neurological problems that would not allow assessment of pain using a visual analog scale (VAS) will be excluded.
• In addition, patients whose surgery lasted <40 minutes or >120 minutes will also be excluded to keep the data homogeneous.

Related Conditions & MeSH terms

• Knee Arthroplasty, Total
• Pain, Postoperative
• Peripheral Nerve Block

Intervention

Procedure:
• Bilateral Suprainguinal fascia iliaca compartment block
Suprainguinal fascia iliaca compartment block (S-FICB) is one of the commonly used regional analgesia techniques for postoperative analgesia in lower extremity surgeries.
• Local infiltration analgesia
Local infiltration analgesia is applied to the posterior part of the knee, including the periosteum, ligaments, muscle and/or skin area before closing the surgical field.

Locations

Country	Name	City	State
Turkey	Kocaeli City Hospital	Kocaeli

Sponsors (1)

Lead Sponsor	Collaborator
Kocaeli City Hospital

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Suprainguinal fascia iliaca compartment block (S-FICB) produces adequate analgesic effect in knee arthroplasty.	The aim of this study was to observationally compare the analgesic efficacy of local infiltration analgesia (LIA) and suprainguinal fascia iliaca compartment block (S-FICB) techniques in patients who underwent bilateral knee operations. Postoperative pain follow-up of the patients will be done by recording Visual analog scales (VAS) at 4, 8, 12 and 24 hours. Additional analgesic needs and unwanted side effects will also be recorded.	4 months