Suprainguinal Fascia Iliaca Block in Knee Arthroplasty

Konya City Hospital

Status: Completed

Conditions: Anesthesia, Local; Analgesia

Treatments: Other: control group; Patients who received physiological saline; Other: suprainguinal fascia block; Patients receiving local anesthetic

Study type: Interventional

Funder types: Other

Identifiers

NCT06386575

suprainguinal

Details and patient eligibility

About

Total knee arthroplasty is the most commonly performed orthopedic surgery, especially in patients with advanced gonarthrosis and limited joint movement. After total knee arthroplasty, patients experience unbearably severe pain. Pain that is not adequately treated in the postoperative period increases the stress response in patients, increases the risk of embolism, causes bleeding in the surgical area, and causes undesirable conditions such as agitation and delirium in patients. This postoperative pain is successfully treated with various variants of multimodal analgesia.

Full description

Total knee arthroplasty is the most commonly performed orthopedic surgery, especially in patients with advanced gonarthrosis and limited joint movement. After total knee arthroplasty, patients experience unbearably severe pain. Pain that is not adequately treated in the postoperative period increases the stress response in patients, increases the risk of embolism, causes bleeding in the surgical area, and causes undesirable conditions such as agitation and delirium in patients. This postoperative pain is successfully treated with various variants of multimodal analgesia.

The primary purpose of this study is; To evaluate the effects of suprainguinal fascia iliaca block on recovery and recovery in the postoperative period in patients who will undergo total knee arthroplasty surgery, using the quality of recovery-15T score.

Secondary purpose; Postoperative rest and movement numeric rating scale, patient likert scale, first rescue analgesia duration, number of patients needing rescue analgesia, total amount of rescue analgesic consumed, complications such as nausea and vomiting, and antiemetic requirements in patients who will undergo total knee arthroplasty surgery with suprainguinal fascia iliaca block is to evaluate.

Enrollment: 60 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients who will undergo unilateral total knee arthroplasty
• Patients who will undergo spinal anesthesia
• Patients aged 18-65 years, ASA I-III
• Patients who will stay in the hospital for at least 24 hours

Exclusion criteria

• Patients who do not want to give consent
• Patients who do not want spinal anesthesia
• Patients for whom regional anesthesia is contraindicated
• Patients with confusion
• Patients with coagulopathy
• Patients using anticoagulants
• Patients with infection in the area to be treated
• Those who are allergic to local anesthesia
• Emergency cases

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups

control group

Other group

Treatment:

Other: control group; Patients who received physiological saline

suprainguinal fascia iliaca block

Active Comparator group

Treatment:

Other: suprainguinal fascia block; Patients receiving local anesthetic