Evaluation of the Effectiveness of iPACK and Adductor Canal Blocks on Patients Undergoing Arthroscopic Knee Surgery

Sakarya University

Status: Enrolling

Conditions: Patients Undergoing Arthroscopic Knee Surgery

Treatments: Procedure: Spinal Anesthesia with Bupivacaine; Procedure: IPACK and adductor canal block with Bupivacaine 0.25%

Study type: Interventional

Funder types: Other

Identifiers

NCT07002580

E-43012747-050.04-463720-202

Details and patient eligibility

About

Arthroscopic knee surgery is one of the most commonly performed procedures in orthopedic surgery. More than 50% of patients experience moderate to severe pain after the operation. Inadequate postoperative pain control and poor recovery quality can negatively impact physiotherapy protocols, prolong hospital stays, and consequently lead to cognitive dysfunction, systemic infections, and increased healthcare costs.

Therefore, reducing postoperative pain and improving recovery quality are of great importance. In our clinic, a variety of analgesic techniques are routinely employed as part of a multimodal analgesia approach for patients undergoing arthroscopic knee surgery. One of these techniques is the simultaneous application of the IPACK block and the adductor canal block.

In this study, we aim to evaluate the effectiveness of these blocks on postoperative recovery quality in patients undergoing arthroscopic knee surgery.

Enrollment: 64 estimated patients

Sex: All

Ages: 18 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients aged between 18 and 50 years,
• Scheduled for arthroscopic knee surgery under spinal anesthesia due to knee pathology
• Patients classified as ASA physical status I-II-III according to the American Society of Anesthesiologists risk classification

Exclusion criteria

• Coagulopathy
• ASA IV-V patients
• Uncooperable patients
• Patients who refuses to participate in study
• Patients who takes chronic pain treatments

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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64 participants in 2 patient groups

Group 1

Experimental group

Description:

Group 1 will involve the patients which will be applied iPACK and adductor canal blocks in addition to spinal anesthesia.

Treatment:

Procedure: IPACK and adductor canal block with Bupivacaine 0.25%

Procedure: Spinal Anesthesia with Bupivacaine

Group 2

Experimental group

Description:

Group 2 will involve the patients which will be applied only spinal anesthesia without additional peripheric nerve blocks.

Treatment:

Procedure: Spinal Anesthesia with Bupivacaine