Prospective Randomized Double Blind Study to Evaluate the Efficacy of Popliteal Nerve Blocks With and Without Dexamethasone on the Duration of Analgesia for Foot & Ankle Surgery.
Overview
- Phase
- Phase 4
- Intervention
- Dexamethasone
- Conditions
- Foot and Ankle Procedures
- Sponsor
- Cedars-Sinai Medical Center
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Postoperative Pain
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
The purpose of this research study to evaluate the effects of dexamethasone as an addition to peripheral nerve block (Put the nerve to sleep with Bupivacaine a numbing medication) on length of pain relief (analgesia), postoperative narcotic (opioids) requirements, pain scores, and patient satisfaction after foot and ankle procedures.
Investigators
Roya Yumul, M.D.,PhD.
Residency program director, Department of anesthesiology
Cedars-Sinai Medical Center
Eligibility Criteria
Inclusion Criteria
- •60 patients (30 per group) undergoing foot and ankle procedures
- •Willingness and ability to sign an informed consent document
- •No allergies to anesthetic or analgesic medications
- •American Society of Anesthesiologists (ASA)physical status Class I - III
- •Aged 18-90 years,either sex
Exclusion Criteria
- •Refusal to participate in the study
- •Age\<18 or\> 90 years -
- •Contraindications to regional blockage including but not limited to:
- •Patient refusal to regional blockade
- •Infection at the site of needle insertion
- •Systemic infection
- •Bleeding diathesis or coagulopathy
Arms & Interventions
Dexamethasone group
Dexamethasone 4mg(1 ml) per 20cc
Intervention: Dexamethasone
Saline group
Saline 1 ml per 20cc
Intervention: Saline
Outcomes
Primary Outcomes
Postoperative Pain
Time Frame: 3 days
Postoperative pain will be measured using a Verbal Rating Scale (0-10) Verbal Rating Scale: 0 to 10 scale where 0 indicates= No pain" and 10 indicates= The worst possible pain
Secondary Outcomes
- Length of Analgesia(3 days)
- Patient Satisfaction With Pain Management(3 days)
- Patient Satisfaction With Regional Nerve Block(3 days)
- Opioid Consumption(3 days)