Postoperative Analgesia in Bilateral Knee Arthroplasties

Kocaeli City Hospital40 enrolled

Overview

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.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Knee Arthroplasty, Total Peripheral Nerve Block Pain, Postoperative

Interventions

Bilateral Suprainguinal fascia iliaca compartment blockPROCEDURE

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 analgesiaPROCEDURE

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.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 75 YearsHealthy volunteers:

Medical Language ↔ Plain English

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.

Locations (1)

Kocaeli City Hospital

Kocaeli, Turkey (Türkiye)

Outcomes

Primary Outcomes

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.

Time frame: 4 months

Data from ClinicalTrials.gov

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