Evidence map›Paper›PMID 33984219›Full record

Trial reportKorean journal of anesthesiology2021

A comparison of adductor canal block before and after thigh tourniquet during knee arthroscopy: a randomized, blinded study.

Mursel Ekinci, Bahadir Ciftci, Yavuz Demiraran, Erkan Cem Celik, Murat Yayik, Burak Omur, Ersin Kuyucu, Yunus Oktay Atalay

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Korean journal of anesthesiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06084403 (The Efficacy of Different Volumes for Ultrasound-Guided Adductor Canal Block for Postoperative Analgesia Management After Total Knee Arthroplasty Surgery), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.4field-weighted citation impact, top 38% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06084403 nacompletednot on this mapstarted 2023, after this paper: background citation

The Efficacy of Different Volumes for Ultrasound-Guided Adductor Canal Block for Postoperative Analgesia Management After Total Knee Arthroplasty Surgery

TypeinterventionalSponsorBursa City HospitalRan2023 to 2024Enrolled90ConditionsKnee Disease, Knee Deformity, Knee Pain Chronic, Knee ArthropathyArms20 ml volume adductor canal block, 30 ml volume adductor canal block, 40 ml volume adductor canal block
3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Mursel EkinciDepartment of Anesthesiology, Istanbul Medipol University School of Medicine, Istanbul, Turkey.
Bahadir CiftciDepartment of Anesthesiology, Istanbul Medipol University School of Medicine, Istanbul, Turkey.
Yavuz DemiraranDepartment of Anesthesiology, Istanbul Medipol University School of Medicine, Istanbul, Turkey.
Erkan Cem CelikDepartment of Anesthesiology and Reanimation, Erzurum Ataturk University Research Hospital, Erzurum, Turkey.
Murat YayikDepartment of Anesthesiology and Reanimation, Erzurum Ataturk University Research Hospital, Erzurum, Turkey.
Burak OmurDepartment of Anesthesiology, Istanbul Medipol University School of Medicine, Istanbul, Turkey.
Ersin KuyucuDepartment of Orthopedics and Traumatology, Istanbul Medipol University School of Medicine, Istanbul, Turkey.
Yunus Oktay AtalayDepartment of Anesthesiology, Istanbul Medipol University School of Medicine, Istanbul, Turkey.
Istanbul Medipol University · TRErzurum Regional Training and Research Hospital · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdductor canal block (ACB) provides effective analgesia after arthroscopic knee surgery. However, there is insufficient data regarding whether ACB should be performed before or after inflation of a thigh tourniquet. We aimed to investigate the efficacy of ACB performed before and after placement of a thigh tourniquet and evaluate associated quadriceps motor weakness.

methodsACB was performed before tourniquet inflation in the PreT group, and it was performed after inflation in the PostT group. In the PO group, ACB was performed at the end of surgery after deflation of the tourniquet.

resultsThere were no statistically significant differences between the groups in terms of demographic data. There was no statistically significant difference among the three groups in terms of total postoperative opioid consumption (P = 0.513). Patient satisfaction and the amount of rescue analgesia administered were also not significantly different between the groups. There was no significant difference in terms of static and dynamic visual analog scale scores between the groups (for 24 h: P = 0.306 and P = 0.271, respectively). The incidence of motor block was higher in the PreT group (eight patients) than in the PostT group (no patients) and the PO group (one patient) (P = 0.005).

conclusionsUsing a tourniquet before or after ACB did not result in differences in terms of analgesia quality; however, applying a tourniquet immediately after ACB may lead to quadriceps weakness.

Indexed as

Arthroplasty, Replacement, KneeNerve BlockArthroscopyHumansPostoperative PainThighTourniquetsConduction anesthesiaKnee jointNerve blockPostoperative painTourniquetsUltrasonography

Identifiers

PMID33984219
PMCPMC8648508
OpenAlexW3162556486

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.