Single Dose Adductor Canal Block vs SPANK Block for TKA
NCT03502889 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 128
Last updated 2019-04-16
Summary
This is a prospective, randomized control trial to compare SPANK block combined with adductor canal block to adductor canal block alone in treatment of post-operative pain after total knee arthroplasty. The primary outcome is pain control, which will be measured throughout the post-operative course using morphine equivalents of opioid analgesics used during the first 24 hours after surgery. Secondary outcomes include pain scores recorded at 4, 8, 12, 16, 20, and 24 hours post-operatively, cumulative pain score, incidence of post-operative nausea and vomiting, and extent of motor blockade. The study will aid in answering the question of whether SPANK block is an effective adjunct in preventing pain and decreasing opioid requirement after TKA.
Conditions
- Osteo Arthritis Knee
- Pain, Postoperative
- Pain, Acute
Interventions
- PROCEDURE
-
SPANK Block (Sensory Posterior Articular Nerves of the Knee)
Injection of local anesthetic into the tissues on the posterior aspect of the knee to provide sensory blockade of the articular nerves of the knee.
- PROCEDURE
-
Adductor Canal Block
Injection of local anesthetic into the inner thigh under ultrasound guidance to provide sensory blockade to the anterior aspect of the knee
- DRUG
-
Ropivacaine Hcl 0.5% Inj Vil 30Ml
Amide local anesthetic, this concentration is commonly used to achieve surgical level anesthesia. The drug itself is not being studied and the same concentration will be used in all participants.
- DEVICE
-
Pajunk sonoplex stim needle
Echogenic needle used for ultrasound guided nerve blockade.
Sponsors & Collaborators
-
San Antonio Uniformed Services Health Education Consortium
lead FED
Principal Investigators
-
Angela M Curell, MD · San Antonio Uniformed Services Health Education Consortium
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 40 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2019-06-30
- Primary Completion
- 2020-04-30
- Completion
- 2020-06-30
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