Ultrasound Vs Nerve Stimulation - Why is a PNS so Effective?
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 20
- Primary Endpoint
- Nerve stimulation resulting in muscle contraction or not
Study Overview
Brief Summary
The traditional model of localizing a nerve for blockade is using a peripheral nerve stimulator, PNS. Recent advances in UltraSound technology has allowed UltraSound to guide nerve blockade. However despite excellent visualization nerve block success has not significantly improved. I aim to show that this is because the PNS stimulation of a nerve is more than a proximity response as thought but a correct fascial plane response and hence the high success rate of this blind approach.
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 70 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •ASA 1 to 3 patients for any shoulder surgery or unilateral ACL knee surgery
Exclusion Criteria
- •Refusal to consent
- •Allergy to Chirocaine local anaesthetic
- •Pace maker in situ
- •Sepsis at site of regional block
Outcomes
Primary Outcomes
Nerve stimulation resulting in muscle contraction or not
Time Frame: Five minutes
Whether the nerve is successfully stimulated, resulting in muscle contraction, or not when the needle is on the wrong side of the fascial layer.
Secondary Outcomes
No secondary outcomes reported
