Erector Spinae Plane Block Vs. IPACK Block with Adductor Canal Block for Total Knee Arthroplasty

Poznan University of Medical Sciences90 enrolled

Overview

Effect of Erector Spinae Plane Block and iPACK block with Adductor Canal Block on pain management, and NLR and PLR following knee arthroplasty

Knee arthroplasty is one of the most common orthopedic procedures, especially in elderly patients, due to the deformation of joints. Patients may complain of severe pain due to surgical trauma and prosthesis. Regional anesthesia methods may be performed to reduce the inflammatory response, opioid consumption, and opioid-related side effects. In recent years, the influence of regional anesthesiology on reducing the inflammatory response after surgical procedures has been emphasized. However, very few studies have evaluated the effect of various methods of anesthesia on the NLR.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

Conditions

Knee Osteoarthritis Knee Pain Chronic Knee Arthritis

Interventions

Control Test - spinal anesthesiaDRUG

No peripheral nerve block Only spinal anesthesia

Ropivacaine 0.2% Injectable Solution ESPBDRUG

ultrasound guided erector spinae plane block (ESPB) - L2 level, unilateral

Ropivacaine 0.2% Injectable Solution iPACK+ACBDRUG

ultrasound guided iPACK block + Adductor Canal Block

Eligibility

Sex: ALLMin age: 18 YearsMax age: 100 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients with ASA classification I-III, * Aged 20-100 years, * scheduled for knee arthroplasty under spinal anaesthesia Exclusion Criteria: * Patients who have a history of bleeding diathesis, * Take anticoagulant therapy, * have a History of chronic pain before surgery, * have Multiple trauma, * cannot assess their pain (dementia), * have been operated on under general anaesthesia, * have an infection in the area * do not accept the procedure

Locations (1)

Poznan University of Medical Sciences

Poznan, Poland

Outcomes

Primary Outcomes

Opioid consumption

Total opiate consumption after surgery

Time frame: 48 hours