A Comparison Between Posterior, Lateral and Medial Approaches for Ultrasound-guided Popliteal Block
- Conditions
- Nerve Pain
- Registration Number
- NCT06489210
- Lead Sponsor
- Helwan University
- Brief Summary
Background: Popliteal block is a widely used technique to provide anesthesia or analgesia for below-knee surgical procedures. In this study, the investigators compare ultrasound-guided popliteal blocks via posterior, lateral, and medial approaches to find out the approach with the best outcome.
- Detailed Description
Methods: In this randomized, controlled clinical trial, one hundred and twenty ASA physical status of class I and II patients undergoing below-knee surgery were involved. These patients were divided into three equal groups at randomly based on the route assigned for the US-guided popliteal block: the posterior, lateral, and medial approach groups. In this study, technical characteristics \[number of attempts to get the proper injection site and block performance time\], anesthetic and analgesic characteristics \[success rate, block onset, potency, and duration, time to ask, and the consumed amount of postoperative analgesia\], discomfort rate in respect to position and needle insertion and the associated complications were recorded.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 120
This study included
- ASA physical status (PS) class I and II
- weighing 70-85 kg,
- undergoing elective below knee surgeries
- patients who refused to participate in the study
- those having an allergy to local anesthetics
- peripheral neuropathy, coagulopathy
- diabetes mellitus
- severe hepatic
- renal impairment
- infection, mass and crush injury or open wound at the nerve block site
- patients receiving chronic analgesic therapy.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method assessment of intraoperative and postoperative pain in different groups after intervention 24 hours after operation pain severity levels via visual analogue scale (VAS). VAS is a 10 cm horizontal line labeled "no pain" at one end and "worst pain" imaginable on the other end. The patient was asked to mark on this line where the intensity of the patient lies
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Zagazig University Hospitals
🇪🇬Zagazig, Egypt
Zagazig University Hospitals🇪🇬Zagazig, Egypt