Comparison of Perioperative Analgesic Efficacy of Femoral Nerve Block, Adductor Canal Block and 4in1 Block

Diskapi Yildirim Beyazit Education and Research Hospital60 enrolled

Overview

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 Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

SINGLE

Enrollment

Conditions

Block Analgesia

Interventions

femoral nerve blockOTHER

To evaluate the intraoperative analgesia effectiveness of femoral block in patients who will have knee surgery.

adductor canal blockOTHER

To evaluate the intraoperative analgesia effectiveness of adductor canal block in patients who will have knee surgery.

4in1 blockOTHER

To evaluate the intraoperative analgesia effectiveness of 4in1 block in patients who will have knee surgery.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 99 Years

Medical Language ↔ Plain English

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

Outcomes

Primary Outcomes

intraoperative analgesia efficacy

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.

Time frame: perioperative period

Secondary Outcomes

postoperative analgesia efficacy

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.