Overview
Comparison of the analgesic and physical recovery effect of genicular nerve block (GNB) alone and (GNB + infiltration between popliteal artery and posterior capsule of the knee (IPACK) in patients undergoing total knee replacement
Description
Comparison of preemptive analgesia of (GNB) with (GNB+ IPACK) on postoperative pain control and recovery of knee physical activity in patient undergoing total knee replacement.
Eligibility
Inclusion criteria:
- Adult patients aged between 21 to 60 years
- undergoing primary unilateral elective total knee arthroplasty under spinal anesthesia
- Having informed consents
- patients with physical status ASA I \& II
- both genders
- body mass index less than 40 kg/m2.
Exclusion criteria
- patients with Peripheral vascular disease
- patients with history of allergy to local anesthesia or opioid analgesia,
- those on anti-platelet, anticoagulant or B blocker drugs
- Patients with acute decompensated heart failure
- Patients with hypertension
- Patients with heart block
- Patients with coronary disease
- Patients with bronchial asthma
- Patients with bleeding disorders
- Patients with compromised renal or hepatic function
- pregnant female.


