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The purpose of the study is to determine whether the association of sciatic nerve block to continuous adductor canal block is effective in the treatment of total knee arthroplasty post operative pain .
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Continous femoral nerve block | Active Comparator | Patients will receive ultrasound-guided (USG) continuous femoral nerve block with 20 ml ropivacaine 0.2% and USG Continuous adductor canal block with 20 ml of saline and USG infragluteal SNB with 20 ml of saline . |
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| Continuous adductor canal block | Experimental | Patients will receive ultrasound-guided continuous adductor canal block with 20 ml ropivacaine 0.2% and USG infragluteal SNB with 20 ml ropivacaine 0.2% and USG continuous FNB with 20 ml of saline . |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Continuous femoral nerve block | Procedure |
| ||
| Continuous adductor canal block |
| Measure | Description | Time Frame |
|---|---|---|
| Total Opioid-consumption | Cumulative opioid consumption : converting oral, intravenous, and patient-controlled analgesia PCA opioid to morphine equivalent | 8 hours postoperative |
| Measure | Description | Time Frame |
|---|---|---|
| NRS pain score at rest | NRS pain scores determined by patient interview, using the standard NRS of 0 to 10 scale at rest. | 0,1,2,4,6,8,12,24 and 48 hours postoperative |
| NRS pain score during movement |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Karim Raies, M.D | Contact | +21655208602 | karim.raies@gmail.com |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24401769 | Background | Kim DH, Lin Y, Goytizolo EA, Kahn RL, Maalouf DB, Manohar A, Patt ML, Goon AK, Lee YY, Ma Y, Yadeau JT. Adductor canal block versus femoral nerve block for total knee arthroplasty: a prospective, randomized, controlled trial. Anesthesiology. 2014 Mar;120(3):540-50. doi: 10.1097/ALN.0000000000000119. |
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| ID | Term |
|---|---|
| D000377 | Agnosia |
| ID | Term |
|---|---|
| D010468 | Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D012965 | Sodium Chloride |
| ID | Term |
|---|---|
| D002712 | Chlorides |
| D006851 | Hydrochloric Acid |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
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| Procedure |
|
| infragluteal Sciatic nerve block | Procedure |
|
| Ropivacaine 0.2% | Drug |
|
| Saline | Drug |
|
NRS pain scores determined by patient interview, using the standard NRS of 0 to 10 scale, during physiotherapy.
| 0,1,2,4,6,8,12,24 and 48 hours postoperative |
| NRS pain score after 10 meters of walk or maximum walked distance | NRS pain scores determined by patient interview, using the standard NRS of 0 to 10 scale after 10 meters walk (if enable after maximum walked distance). | 8, 24 and 48 hours postoperative |
| Ability to walk | The ability of the patient to stand up and walk 3 meters. | 8, 24 and 48 hours postoperative |
| TUG Test | The TUG test measures the time it takes a patient to stand up from a chair, walk a distance of 3 m, and return to the chair | 8, 24 and 48 hours postoperative |
| The 10-m walk test | time it takes the patient to walk a distance of 10 m as quickly as possible | 8, 24 and 48 hours postoperative |
| patient satisfaction | patient interviewed, using a scale of 0-10, 0 not satisfied and 10 being the most satisfied | 8, 24 and 48 hours postoperative |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D017670 |
| Sodium Compounds |