Comparison of Pain Relief Post Knee Arthroscopy Using IPACK + Adductor Canal Block Vs. Adductor Canal Block Alone

Ain Shams University

Status: Completed

Conditions: Postoperative Pain

Treatments: Procedure: Group A will receive adductor canal block after spinal anesthesia under a high-frequency ultrasound guidance in which the adductor canal is identified and 20 ml of 0.25% bupivacaine will be injected; Procedure: Group B will receive adductor canal block under ultrasound guide 20 ml bupivacaine 0.25% and IPACK block under direct visualization of ultrasound of 20 ml bupivacaine 0.25%

Study type: Interventional

Funder types: Other

Identifiers

NCT06265441

MS42/2024

Details and patient eligibility

About

In this study, the invistigators aim to compare postoperative analgesia effectiveness between combined interspace between the popliteal artery and posterior capsule of the knee block (IPACK) and Adductor canal block vs. Adductor canal block alone after Arthroscopic knee surgeries.

Full description

Patients who fulfilled the inclusion criteria and agreed to participate in the study will be randomly divided into two groups using their computer-generated random numbers such that even numbers will be enrolled in group A for Adductor canal block alone and odd numbers will be enrolled in group B for Adductor canal block and IPACK block.

Enrollment: 40 patients

Sex: All

Ages: 21 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Physical status: ASA 1 or 2
• Age group: 21-40 years.
• No sex predilection.
• Patients undergoing arthroscopic knee surgery under spinal anesthesia.

Exclusion criteria

• Patient refusal
• Physical status: ASA III or above.
• Patients with contraindications for spinal anesthesia.
• Patients with history of drug allergies to study drugs.
• Evidence of local infection at site of injection.
• Neuromuscular pathology (example: - Multiple Sclerosis)

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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40 participants in 2 patient groups

Group A : Adductor canal block only

Experimental group

Description:

Patients will receive Adductor canal block under ultrasound guide of 20 ml bupivacaine 0.25%

Treatment:

Procedure: Group A will receive adductor canal block after spinal anesthesia under a high-frequency ultrasound guidance in which the adductor canal is identified and 20 ml of 0.25% bupivacaine will be injected

Group B : Adductor canal + IPACK block

Active Comparator group

Description:

Patients will receive Adductor canal block and IPACK block under ultrasound guidance with 20 ml bupivacaine 0.25% for each block

Treatment:

Procedure: Group B will receive adductor canal block under ultrasound guide 20 ml bupivacaine 0.25% and IPACK block under direct visualization of ultrasound of 20 ml bupivacaine 0.25%