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

Diskapi Yildirim Beyazit Training and Research Hospital

Status: Completed

Conditions: Block; Analgesia

Treatments: Other: 4in1 block; Other: femoral nerve block; Other: adductor canal block

Study type: Interventional

Funder types: Other

Identifiers

NCT05643040

06/06/2022 139/13

Details and patient eligibility

About

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.

Enrollment: 60 patients

Sex: All

Ages: 18 to 99 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 3 patient groups

femoral nerve block

Experimental group

Description:

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

Treatment:

Other: femoral nerve block

adductor canal block

Experimental group

Description:

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

Treatment:

Other: adductor canal block

4in1 block

Experimental group

Description:

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

Treatment:

Other: 4in1 block