Genicular Nerve Block Versus Its Combination With Infiltration Between Popliteal Artery and Capsule of Posterior Knee

comparing Genicular Nerve Block with its combination with infiltration Between Popliteal Artery and Capsule of Posterior Knee for Enhanced Recovery After total Knee Arthroplasty

Inclusion criteria:Adult patients aged between 21 to 60 yearsundergoing primary unilateral elective total knee arthroplasty under spinal anesthesiaHaving informed consentspatients with physical status ASA I & IIboth gendersbody mass index between 25 and 30 kg/m2.Exclusion criteriapatients with Peripheral vascular diseasepatients with history of allergy to local anesthesia or opioid analgesia,those on anti-platelet, anticoagulant or B blocker drugsPatients with acute decompensated heart failurePatients with hypertensionPatients with heart blockPatients with coronary diseasePatients with bronchial asthmaPatients with bleeding disordersPatients with compromised renal or hepatic functionpregnant female.