Adductor Canal Block (ACB) Versus ACB /Saphenous Block in Patients Undergoing Anterior Cruciate Ligament Repair

• Status: Recruiting
• Trial end date: 2020-10-01
• Target enrollment: 0
• Participant gender: All

Summary

Knee surgeries are associated with severe postoperative pain. Blocking the femoral nerve (or saphenous nerve) in the adductor canal is increasingly used for knee analgesia. It carries potential benefits that encourage anesthesiologists to do it. It has a motor sparing property. Injection of local anesthetics in this lengthy canal that contains a variable amount of connective or fibrous tissue might lead to a patchy distribution of local anesthetics. Thus, the possibility of incomplete block of the saphenous nerve (most important nerve in knee innervations) cannot be excluded.

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Cairo University
• Treatments: Bupivacaine; Lidocaine

Criteria

Inclusion Criteria:

• Scheduled for knee orthopedic ( ACL repair)

• Physical status ASA I, II.

• Body mass index (BMI): > 20 kg/m2 and < 35 kg/m2.

Exclusion Criteria:

• • Patients with known sensitivity or contraindication to drug used in the study (local anesthetics, opioids).

• History of psychological disorders and/or chronic pain.

• Contraindication to regional anesthesia e.g. local sepsis, pre- existing peripheral neuropathies and coagulopathy.

• Infection of the skin at the site of needle puncture area.

• Patient refusal.

• Severe respiratory or cardiac disorders.

• Advanced liver or kidney disease.

• Pregnancy.

• Patient with surgery duration more than two hours.