Effect of Adding Ultrasound Guided IPACK Block to Adductor Canal Block for Postoperative Pain in Knee Tumor Excision
Trial Parameters
Brief Summary
the aim of this study is to determine the analgesic effect of iPACK in combination to ACB after the excision of tumors around the Knee regarding the following: * Time to the 1st rescue analgesia. * Postoperative morphine consumption. * Postoperative visual analogue scale (VAS). This study will include patients, aged 18 to 65 years, belonging to the American Society of Anesthesiologists (ASA) physical status II to IV , undergoing excision of tumors around the knee under spinal anesthesia. Patients will be randomly allocated Group iPACK plus Adductor canal block (ACB) : patients will receive ACB plus iPACK block. • Control group : patients will not receive any block but will take morphine 3mg bolus at VAS more than 4 and regular NSAIDS and paracetamol iv.
Eligibility Criteria
Inclusion Criteria: * Stated willingness to comply with all study procedures and availability for the duration of the study * American Society of Anesthesiologists (ASA) physical status II-IV. * Patients undergoing excision of tumors around the knee under spinal anesthesia Exclusion Criteria: * Patient refusal. * Neuromuscular disorders * Allergy to local anesthetics * Previous history of knee surgery * Patients with a prior knee infection * Contraindications to spinal anesthesia as coagulopathies and severe aortic stenosis.