The Sacral Erector Spinae Plane Block in Total Knee Arthroplasty
Effectiveness of the Sacral Erector Spinae Plane (ESP) Block in Total Knee Arthroplasty: A Prospective Observational Study
San Giovanni di Dio Hospital
126 participants
Jul 16, 2025
OBSERVATIONAL
Conditions
Summary
The goal of this observational study is to learn about the analgesic efficacy and postoperative recovery of two locoregional anesthesia combinations in patients \> 18 years (ASA I-III), scheduled for unilateral TKA under spinal anesthesia with expected hospitalization \> 24 hours: * ACB + sacral ESP block * ACB + iPACK block The main question it aims to answer is: Does the ACB + sacral ESP block combination produce effective postoperative recovery and analgesic effect? Participants already taking ACB + sacral ESP block as part of their regular peri-operative care for TKA will be followed in the postoperative period for 48 hours.
Eligibility
Inclusion Criteria3
- Adults \>18 years
- ASA I-III
- scheduled for unilateral TKA with expected hospitalization \> 24 hours
Exclusion Criteria9
- Refusal of consent
- Local anesthetics allergies
- contraindications to spinal or regional anesthesia
- coagulation disorders
- anticoagulation/antiaggregation medications
- dementia
- ASA-PS \> III
- ongoing infection
- emergency surgeries
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Interventions
combination of regional blocks for TKA postoperative analgesia
Locations(1)
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NCT07017400