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The Mininimum Effective Anaesthetic Volume of Local Anaesthetic in Ultrasound-guided "Shamrock" Lumbar Plexus Block

Not Applicable
Completed
Conditions
Mininimum Effective Anaesthetic Volume of Local Anaesthetic
Interventions
Other: lumbar plexus block
Registration Number
NCT01956617
Lead Sponsor
Oslo University Hospital
Brief Summary

The "Shamrock method" is a new ultrasound-guided lumbar plexus block. The aim of the study is to determine the minimum effective volume of ropivacaine 0.5% required to produce an effective lumbar plexus block with this method. Using the Dixon and Massey up-and-down method study design, 30 patients scheduled for elective total hip and knee arthroplasty will be included in the study.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
30
Inclusion Criteria
  • orthopaedic patients scheduled for elective hip and knee arthoroplasty
  • ASA 1 - 2 or stable ASA 3
  • age between 18 and 70 years
  • good ability to communicate and to cooperate
Exclusion Criteria
  • ASA > 3 or unstable ASA 3
  • BMI > 32
  • chronicle pain
  • nephrological diseases or nephropathy
  • known contraindications against the use of local anaesthetics
  • pregnancy

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
injection volumelumbar plexus blockblock success or failure determines a 5 ml decrease or increase for the subsequent patient, respectively
Primary Outcome Measures
NameTimeMethod
minimum effective volumefrom day 1 up to 20 weeks

The primary outcome measure (MEV) is based on 30 measurements in 30 patients (secondary outcome measure: block success). MEV is determined by Dixon and Massey up-and-down method when all patients have been tested in the study

Secondary Outcome Measures
NameTimeMethod
block successDay 1

45 minutes after lumbar plexus blockade was performed

Trial Locations

Locations (2)

Department of Anaesthesia and Intensive Care Medicine, Oslo University Hospital

🇳🇴

Oslo, Norway

Oslo University Hospital

🇳🇴

Oslo, Norway

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