Using the Adductor Magnus Plain Block As an Innovative Approach for Sciatic Nerve Block for Lower Limb Surgeries.

Mohammed Gaber Saad

Status: Active, not recruiting

Conditions: Adductor Magnus Plain Injection for Sciatic Nerve Block

Treatments: Procedure: SG Group: Sciatic nerve block by sub-gluteal approach + Femoral nerve blocks; Procedure: AMM Group: Adductor Magnus Muscle Plane approach + Femoral Nerve Blocks

Study type: Interventional

Funder types: Other

Identifiers

NCT06852118

Anesth-.0435/2024 Med Research

Details and patient eligibility

About

the goal of this clinical trial is to compare the efficacy of adductor magnus muscle plane injection as an approach for sciatic nerve block to sub-gluteal approach in combination with femoral nerve blocks as perioperative analgesia in knee surgeries.

Enrollment: 60 estimated patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• ASA (American Society of Anaesthesiologists) Physical Status I-III.
• Patients who consent to receive regional anesthesia.

Exclusion criteria

• Patients with a history of allergy to local anesthetics.
• Pre-existing neurological deficits in the lower extremities.
• Coagulopathy or anticoagulation therapy that cannot be safely discontinued.
• Infection at the site of block injection.
• Severe obesity (BMI > 40).
• Patients with contraindications to regional anesthesia.
• peripheral neuropathy.
• Psychiatric disorders and communication difficulties.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 2 patient groups

AMM Group: Adductor Magnus Muscle Plane approach + Femoral Nerve Blocks

Experimental group

Description:

Conduct the sciatic nerve block via adductor magnus plain injection. the femoral nerve block will be conducted as well

Treatment:

Procedure: AMM Group: Adductor Magnus Muscle Plane approach + Femoral Nerve Blocks

SG Group: Sciatic nerve block by sub-gluteal approach + Femoral nerve blocks

Active Comparator group

Description:

Conduct the sciatic nerve block via sub-gluteal approach. the femoral nerve block will be conducted as well

Treatment:

Procedure: SG Group: Sciatic nerve block by sub-gluteal approach + Femoral nerve blocks