A randomized comparison of proximal and distal ultrasound-guided adductor canal catheter insertion sites for knee arthroplasty.
Edward R Mariano, T Edward Kim, Michael J Wagner...
https://pubmed.ncbi.nlm.nih.gov/25154949/Actively Recruiting
Led by TC Erciyes University · Updated on 2026-05-14
60
Participants Needed
2
Research Sites
2 weeks
Total Duration
Researchers are evaluating the effectiveness of two types of nerve blocksAdductor Canal Block alone and Adductor Canal Block combined with the IPACK blockin reducing pain and the need for pain medicine after knee surgery, specifically total knee arthroplasty. This study aims to find out which method provides better postoperative pain relief using ultrasound-guided techniques. Participants are divided into two groups one receives a single-shot Adductor Canal Block before surgery, and the other receives both the Adductor Canal Block and an IPACK block, also before surgery. Both groups will have access to a patient-controlled intravenous morphine device after surgery to manage pain. The study compares these two approaches to assess their impact on pain and opioid use. During the study, researchers will measure opioid consumption and pain scores at rest and during movement within the first 24 hours after surgery. They will also monitor side effects like nausea and vomiting during this period. Participants will be followed starting from the preoperative phase through at least 24 hours postoperatively to evaluate pain control and adverse effects.
CONDITIONS
Comparison of the Analgesic Efficacy of Adductor Canal Block and Combined Adductor Canal Block Plus IPACK Block in Knee Surgery
S
Sibel Pehlivan, DR
Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.
Already have an account? Log in here
TC Erciyes University
Lead Sponsor
You may qualify if you...
You will not qualify if you...
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Day of surgery and immediate postoperative period
Participants receive either a preoperative adductor canal block alone or combined with an iPACK block under ultrasound guidance before knee surgery. Postoperative pain is managed with intravenous patient-controlled analgesia containing morphine.
1 preoperative visit and 1 postoperative visit (in-person)
Duration - 24 hours after surgery
Participants are assessed for opioid consumption, pain scores, and adverse effects during the first 24 hours after surgery.
1 follow-up visit within 24 hours post-surgery
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
2
Have more questions? Get in touch with our team for quick support
Edward R Mariano, T Edward Kim, Michael J Wagner...
https://pubmed.ncbi.nlm.nih.gov/25154949/Melina Shoni, Aneesh V Samineni, Seroos Salavati...
https://pubmed.ncbi.nlm.nih.gov/38235397/TC Erciyes University
Lead Sponsor