Clinical trial NCT06125067: Fascia Iliaca Compartment Block and IPACK Block in Total Knee Arthroplasty
Official title: Comparison of the Efficacy of Fascia Iliaca Compartment Block and IPACK Block for Postoperative Analgesia in Total Knee Arthroplasty Operation
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Arthropathy of Knee
Analgesia
Keywords: Total Knee Arthroplasty
iPACK Block
Fascia Iliaca Compartment Block
Postoperative Pain
Peripheral Nerve Block
Lead sponsor: Ankara Ataturk Sanatorium Training and Research Hospital
Sponsor class: OTHER_GOV
First posted: 2023-11-09
Enrollment: 120
Sex: ALL
Minimum age (years): 18
Maximum age (years): 89
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: In our study, which is planned as a retrospective file scanning and postoperative regional anesthesia follow-up form review, all patients who have undergone elective total knee arthroplasty surgery of Ankara Atatürk Sanatorium Training and Research Hospital in the last 1 year (between 01 March 2022 and 31 March 2023) will be included in the study. It is planned to examine 120 patient files in total.

Brief summary: The investigators sought to compare the effectiveness of postoperative pain control between the standard intravenous multimodal analgesia procedure used in managing patients undergoing total knee surgery, who experience severe postoperative analgesia needs, and multimodal analgesia procedures that incorporate ultrasound-guided peripheral nerve blocks (Fascia Iliaca Compartment Block or iPACK Block) during postoperative follow-up. The aim is to determine which procedure is more effective.

Detailed description: All patients who received a total knee replacement surgery conducted by orthopaedic surgeons at the operating theatre of Health Sciences University Ankara Atatürk Sanatorium Training and Research Hospital and underwent postoperative pain assessment by anaesthetists will be retrospectively reviewed as part of the study.

Postoperative pain management follow-up for patients who have undergone surgical procedures at Anaesthesiology and Reanimation Clinic is standard practice during patients hospitalization. Patients who have undergone painful and significant surgical procedures are typically given postoperative patient-controlled analgesia devices and are administered intravenous painkillers that are under the patient's control. As part of multimodal analgesia procedure, the investigators apply peripheral nerve blocks routinely to eligible patients, provided that the necessary criteria are met. Once the postoperative Anesthesiology and Reanimation clinic's follow-up form, the regional anaesthesia follow-up form, is completed, patients receive coordinated follow-up care from anaesthesiologists and surgical physicians in postoperative ward to monitor analgesic requirements and increase patient satisfaction. Hourly monitoring ensures that patients receive optimal care.

The aims of study to examine the effectiveness of these procedures. The investigators will include all patients who received elective total knee arthroplasty surgery in the operating room of Ankara Atatürk Sanatorium Training and Research Hospital within the past year (between 01 March 2022 and 31 March 2023) in retrospective file review and postoperative pain follow-up study.

Eligibility criteria: Inclusion Criteria:

* Patients who have undergone elective total knee surgery
* ASA I-III patients

Exclusion Criteria:

* Those \<30 kg
* People under 18 years of age
* Patients with missing follow-up forms
* Patients with a history of chronic opioid or corticosteroid use
* Patients with a history of inflammatory gonathrosis
* Patients with synovectomy operation history

Primary outcomes:
measure: Numerical Rating Scale (NRS)
timeFrame: postoperative 24 hours score change
Secondary outcomes:
measure: 5-point likert satisfaction scale
timeFrame: postoperative 24th hour
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Ankara Atatürk Sanatorium Training and Research Hospital
state: Keçiören
Study officials:
affiliation: Ankara Ataturk Sanatorium Training and Research Hospital
name: Onur KÜÇÜK, specialist
role: PRINCIPAL_INVESTIGATOR
References: