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Comparison of the analgesics blocks (femoral, adductor canal and sciatic subgluteal nerve) for total replacement knee surgery.
Adductor canal block shows a beneficial effect for knee surgery. Mainly because he prevent for muscular weakness; adverse effect meet with femoral block and delaying the early active mobilization.
The investigators want to compare the efficacy and safety of this block compared to the femoral and sciatic block.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Femoral nerve blockade | Active Comparator | In this group, patient will benefit of an ultrasound guided femoral nerve blockade with continuous catheter infusion as (initial bolus of 20ml of ropivacaine 0.75% follow with 7ml/hour of ropivacaine 0.2%) as analgesic nerve blockade for total knee replacement surgery. |
|
| Adductor canal blockade | Active Comparator | In this group, patient will benefit of an ultrasound guided adductor canal blockade with continuous catheter infusion (initial bolus of 20ml of ropivacaine 0.75% follow with 7ml/hour of ropivacaine 0.2%) as analgesic nerve blockade for for total knee replacement surgery. |
|
| Subgluteal sciatic nerve blockade | Active Comparator | In this group, patient will benefit of an ultrasound guided subgluteal sciatic nerve blockade with continuous catheter infusion (initial bolus of 20ml of ropivacaine 0.75% follow with 7ml/hour of ropivacaine 0.2%) as analgesic nerve blockade for total knee replacement surgery. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Analgesic nerve blockade (Ropivacaine) | Drug | Analgesic nerve blockade (Ropivacaine) for total knee replacement surgery. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain measurement with numeric pain scale : from 0 to 10 (maximal pain) in rest condition | Pain assessment and evolution in postoperative period (passive condition) | up to day 7 |
| Pain measurement with numeric pain scale (from 0 to 10) during active motorized mobilization (Kinetic) | Pain assessment and evolution in postoperative period (active condition) | up to day 7 |
| Measure | Description | Time Frame |
|---|---|---|
| Postintervention nausea vomiting | question : present or not | at hour 0, at hours 6, at day 1 |
| Patient satisfaction | Questionnaire of patient felling and satisfaction. Choice within gradual felling : bad, middle, good, excellent |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Pierre Goffin | Contact | 003243667178 | goffin.pjc@gmail.com | |
| Jean-Pierre Lecoq | Contact | 003243667178 | jplecoq@chu.ulg.ac.be |
| Name | Affiliation | Role |
|---|---|---|
| Jean-Francois Brichant | University of Liege | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University og Liege, University Hospital | Liège | 4000 | Belgium |
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| ID | Term |
|---|---|
| D000077212 | Ropivacaine |
| D000765 | Anesthesia, Conduction |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
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|
| Total knee replacement surgery. | Procedure | Total knee replacement surgery. |
|
| at day 1 |
| Opioid consumption | doses of piritramid (synthetic opioid) administrated with patient control rescue analgesia device. | up to 48 hours |
| D000588 |
| Amines |
| D000758 | Anesthesia |
| D000760 | Anesthesia and Analgesia |