Status:

NOT_YET_RECRUITING

LIA vs. LIA + ACB-iPACK Block for Total Knee Arthroplasty

Lead Sponsor:

Women's College Hospital

Conditions:

Nerve Block

Neuromuscular Blockade

Eligibility:

All Genders

18-85 years

Phase:

NA

Brief Summary

LIA is the mainstay of postoperative analgesia in patients having knee arthroplasty. The combination of ACB-iPACK blocks has also been proposed as an effective analgesic modality for total knee arthro...

Detailed Description

LIA is the mainstay of postoperative analgesia in patients having knee arthroplasty. Performed by surgeons, LIA provides effective postoperative pain relief and reduces opioid requirements. Similar an...

Eligibility Criteria

Inclusion

  • ASA classification I-III
  • BMI \< 35 kg/m2
  • Having elective unilateral total knee arthroplasty

Exclusion

  • Bilateral knee surgery.
  • Pre-existing neurological deficit or peripheral neuropathy in the lower the lower limbs
  • Severe, poorly controlled cardiac conditions, significant arrhythmias, severe valvular heart diseases
  • Severe, poorly controlled respiratory conditions (severe COPD, severe interstitial lung disease, severe / poorly controlled asthma)
  • Contraindication to regional anesthesia (e.g. bleeding diathesis, coagulopathy, sepsis, infection at the site of potential needle puncture on the posterior chest)
  • Patient refusal
  • Chronic pain disorder
  • Chronic opioid use (≥30 mg oxycodone / day)
  • Contraindication (or allergy) to a component of multi-modal analgesia protocol
  • Allergy to amide local anesthetics used in nerve blocks
  • Contraindications to spinal anesthesia
  • Significant psychiatric disorder that would preclude objective study assessment
  • Pregnancy
  • Inability to provide informed consent

Key Trial Info

Start Date :

January 1 2027

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2028

Estimated Enrollment :

60 Patients enrolled

Trial Details

Trial ID

NCT04808947

Start Date

January 1 2027

End Date

December 1 2028

Last Update

July 16 2025

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