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This study aims to compare the incidence of urinary retention and requirement of bladder catheterization in patients undergoing total knee arthroplasty while receiving either continuous epidural analgesia or single shot femoral nerve block.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group F | Experimental | Femoral nerve Block Group |
|
| Group E | Active Comparator | Epidural Group |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Femoral Nerve Block | Procedure | For patients in Femoral nerve Block Group (Group F), ultrasound guided Femoral nerve block was performed using 0.375% bupivacaine, 20 ml for femoral nerve |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of urinary retention | To compare the incidence of urinary retention in patients undergoing unilateral Total Knee Arthroplasty receiving continuous epidural analgesia vs. single shot Femoral Nerve Block. | 24 Hours |
| Measure | Description | Time Frame |
|---|---|---|
| Mean post-operative nausea and vomiting scores | To compare the mean post-operative nausea and vomiting scores between the two groups at 0, 1, 12, 24 & 48 hours postoperatively. | up to 48 hours |
| Mean post-operative sedation scores |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ausaf A Khan | Aga Khan University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Aga Khan University | Karachi | Pakistan |
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| Epidural | Procedure | Patients in Epidural Group (Group E) were turned in lateral position for epidural catheter placement in lumbar region. Epidural was loaded with 0.25% bupivacaine and infusion of M2 (Bupivacaine 0.1% + Fentanyl 2mcg/ml) was started at 8 - 12 ml per hour. |
|
To compare the mean post-operative sedation scores between the two groups at 0, 1, 12, 24 & 48 hours postoperatively.
| up to 48 hours |
| Mean post-operative pain scores | To compare the mean post-operative pain scores between the two groups at 0, 1, 12, 24 & 48 hours postoperatively. | up to 48 hours |
| Surgical outcomes - maximal knee flexion | To compare surgical outcomes like maximal knee flexion at 24 & 48 hours between the two groups | up to 48 hours |
| Surgical outcomes - duration of post-operative hospital stay | To compare surgical outcomes like duration of post-operative hospital stay between the two groups | up to 48 hours |
| Surgical outcomes - mobilization out of bed | To compare surgical outcomes like time taken to mobilize out of bed between the two groups | up to 48 hours |
| Surgical outcomes - food intake | To compare surgical outcomes like time of first food intake between the two groups | up to 48 hours |
| Patient satisfaction | To compare Patient satisfaction with the analgesic modality between the two groups | 7 Days |
| ID | Term |
|---|---|
| D059787 | Acute Pain |
| D016055 | Urinary Retention |
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D014555 | Urination Disorders |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
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| ID | Term |
|---|---|
| D007268 | Injections, Epidural |
| ID | Term |
|---|---|
| D007278 | Injections, Spinal |
| D007267 | Injections |
| D004333 | Drug Administration Routes |
| D004358 | Drug Therapy |
| D013812 | Therapeutics |
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