ESPB vs iPACK+ACB in Total Knee Arthroplasty

Poznan University of Medical Sciences60 enrolled

Overview

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

Knee arthroplasty is one of the most common orthopaedic procedures, especially in elderly patients, due to the deformation of joints. Patients may complain of severe pain due to surgical trauma and prostheses. Regional anaesthesia methods may be performed to reduce the surgery's induced stress 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 emphasised. However, very few studies have evaluated the effect of various methods of anaesthesia on the NLR and PLR. This is the first study to investigate the effect of regional anaesthesia on the pain managementonse expres and stress respsed by the NLR and PLR in patients undergoing knee replacement surgery.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

Conditions

Knee Arthritis Knee Arthropathy Knee Osteoarthritis Knee Pain Chronic Knee Disease Knee Rheumatism

Interventions

Ropivacaine 0.2% Injectable SolutionDRUG

iPACK block + Adductor Canal Block

Ropivacaine 0.2% Injectable SolutionDRUG

Erector Spinae Plane Block

control groupDRUG

only spinal anesthesia

Eligibility

Sex: ALLMin age: 18 YearsMax age: 100 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients with ASA classification I-III, Aged 20-90 years, Who will be 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 and do not accept the procedure

Locations (1)

Poznan University of Medical Sciences

Poznan, Poznań, Poland

Outcomes

Primary Outcomes

Opioid consumption

Total opiate consumption after surgery

Time frame: 48 hours after surgery