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Trial registered on ANZCTR
Registration number
ACTRN12616000935437
Ethics application status
Approved
Date submitted
10/06/2016
Date registered
13/07/2016
Date last updated
30/01/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Effects of ultrasound-guided adductor canal block on postoperative quality of recovery after arthroscopy knee surgery
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Scientific title
Effects of ultrasound-guided adductor canal block on postoperative quality of recovery after arthroscopy knee surgery
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Secondary ID [1]
289106
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Postoperative Complications
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meniscus injury
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Condition category
Condition code
Anaesthesiology
298649
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0
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Pain management
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Musculoskeletal
299288
299288
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0
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Other muscular and skeletal disorders
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Surgery
299289
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0
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Other surgery
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
All participants had an ultrasound-guided adductor canal block (ACB) performed 30 minutes prior to general anaesthesia. ACB was performed by a single consultant anaesthetist using 10ml of 0.5% ropivacaine
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Intervention code [1]
294610
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Treatment: Drugs
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Comparator / control treatment
Ultrasound-guided adductor canal block will be adminstered with isotonic saline 0.9% 10ml before induction, and the anesthesia was applied as group ACB.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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The quality of recovery is assessed with a 40-item quality-of-recovery questionnaire
(QoR-40)
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Assessment method [1]
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Timepoint [1]
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The quality of recovery is assessed on the day before surgery and 24h after surgery
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Secondary outcome [1]
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Postoperative pain intensity is assessed with visual analogue scale (VAS) which 0 and 100 mm referring to ‘no pain’ and ‘worst pain imaginable’.
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Assessment method [1]
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Timepoint [1]
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Postoperative pain is assessed at 30min, 1, 2, 4, 8 and 24h after surgery
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Secondary outcome [2]
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Cumulative opioid consumption is recoreded by review of medical records
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Assessment method [2]
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Timepoint [2]
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Calculation of opioid consumption should be considered from initiation of surgery to postoperative 24h
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Secondary outcome [3]
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Patient’s satisfaction is assessed with a 10-point numerical rating scale: 10= excellent, 1= bad
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Assessment method [3]
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Timepoint [3]
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Patient’s satisfaction is evaluated on postoperative 24h
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Secondary outcome [4]
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The incidence of postoperative nausea and vomiting is assessed by verbal self-report by participant.
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Assessment method [4]
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Timepoint [4]
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Every participant would be asked the incidence of nausea and vomiting during postoperative 24h
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Eligibility
Key inclusion criteria
Age 18 to 60years
ASA physical status were I or II
Body mass index were between 18 and 35 kg/m2
Scheduled for arthroscopic knee surgery
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Minimum age
18
Years
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Maximum age
60
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Have history of allergic to local anesthetics, opioid drug or alcohol abuse, intake of any analgesic drug within 48 h before surgery, any signs of infection in the vicinity of the place of acupuncture treatment
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Treatment allocations were concealed with opaque envelopes, which only assistant who dispensing local anesthetic could open.Treatment allocations were assigned to either the ACB group or the control group
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
participants were randomized by using a Excel-generate random code
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Statistical analysis were assessed with the use of SPSS version 20.0 (SPSS Inc., Chicago, IL, USA). The normality of distribution was estimated by the Kolmogorov–Smirnov test. Parametric data were expressed as the mean[standard deviation (SD)] and were compared in a t test .Nonparametric data were presented as median[interquartile range (IQR)] and assessed by using the Mann–Whitney test. Categorical variables were expressed as the number of patients (%) and mean values were compared in x2 test or Fisher exact test as appropriate. All reported P-values are two-tailed, and at a 5% level of significance.
The sample size evaluation was based the global QoR-40 scores on our pilot study. In a previous study, we accepted a 10-point difference performs a clinically relevant difference in quality of recovery. Based on the result of previous study, sample size per group were assessed that 28 subjects would be sufficient with a = 0.05 and a power of 80%. Taking into account an expected lost or follow-up data rate of 10%, the final sample size was 62 patients.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
12/09/2016
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Date of last participant enrolment
Anticipated
30/11/2016
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Actual
20/09/2017
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Date of last data collection
Anticipated
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Actual
22/09/2017
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Sample size
Target
62
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Accrual to date
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Final
62
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Recruitment outside Australia
Country [1]
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China
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State/province [1]
7843
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Fujian
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Yusheng Yao
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Address [1]
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No.134 Dongjie Street,Fujian Provincial Hospital. Fuzhou, Fujian, China, 350001
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Country [1]
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China
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Primary sponsor type
Individual
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Name
Yusheng Yao
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Address
No.134 Dongjie Street, Fujian Provincial Hospital.Fuzhou, Fujian, China, 350001
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Country
China
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Fujian Provical Hospital
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Address [1]
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No.134 Dongjie Street,Fujian Provincial Hospital. Fuzhou, Fujian, China, 350001
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Country [1]
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China
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The Biological-Medical Ethical Committee of Fujian Provincial Hospital
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Ethics committee address [1]
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No.134, Dongjie, Fujian Provincial Hospital, Fuzhou, Fujian, China, 350004.
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Ethics committee country [1]
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China
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Date submitted for ethics approval [1]
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23/12/2015
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Approval date [1]
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21/03/2016
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Ethics approval number [1]
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K2016-3-21
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Summary
Brief summary
Arthroscopic knee surgery patients may experience discomfort, distress and pain following surgery with approximately 70% incidence of postoperative moderate-to-severe pain reported. These factors could affect the recovery of patients and extend discharge. Many studies have indicated that femoral nerve block(FNB) could relieve pain after anterior cruciate ligament reconstruction. However, FNB has been associated with quadriceps weakness, the risk of falling and delayed mobilization. In recent years, the adductor canal block(ACB) was shown to relieve pain and reduce morphine consumption after arthroscopic knee surgery with minor effects on muscle strength. A meta-analysis indicated that ACB provides better ambulation ability and pain control when compared with FNB and improve functional recovery after total knee arthroplasty. Although these advantages should be evaluated, the effects of ACB on the quality of recovery from patient’s perspective were not documented. The aim of the current trial was to assess the effect of pre-operative ultrasound-guided ACB on the quality of recovery after arthroscopic knee surgery.
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Trial website
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Trial related presentations / publications
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Public notes
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Attachments [1]
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/AnzctrAttachments/370606-Ethics.pdf
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Contacts
Principal investigator
Name
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Prof Yusheng Yao
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Address
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No.134 Dongjie Street,Fujian Provincial Hospital.Fuzhou, Fujian, China, 350001
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Country
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China
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Phone
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+8613559939629
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Yusheng Yao
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Address
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No.134 Dongjie Street,Fujian Provincial Hospital. Fuzhou, Fujian, China, 350001
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Country
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China
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Phone
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+8613559939629
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Yusheng Yao
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Address
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No.134 Dongjie Street,Fujian Provincial Hospital. Fuzhou, Fujian, China, 350001
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Country
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China
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Phone
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+8613559939629
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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