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Preemptive Analgesic Effects of Popliteal Sciatic Nerve Block in Patients With Bilateral Hallux Valgus Surgery

Not Applicable
Conditions
Acute Pain
Preemptive Peripheral Nerve Block
Pain, Postoperative
Interventions
Drug: Ultrasound guided popliteal sciatic nerve block with 0.2% ropivcaine
Registration Number
NCT03414593
Lead Sponsor
Asan Medical Center
Brief Summary

The purpose of this study was to investigate the preemptive effect of ultrasound guided popliteal scistic nerve block on postoperative acute pain in patients with bilateral hallux valgus.

After induction of general anesthesia, the leg to be operated first is decided randomly. After the operation of one leg is completed, PSNB is performed on both legs with 0.2% Ropivacaine and surgery is started on the remaining legs.

When the surgery is over, check to see which foot pain begins first, how strong the pain is, and whether there are any side effects.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
20
Inclusion Criteria
  1. adults between the ages of 20 and 80
  2. bilateral hallux valgus surgery on the same day
  3. ASA class 1 or 2
  4. Patients who have voluntarily agreed in writing to participate in the trial
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Exclusion Criteria
  1. Patient with side effects on local anesthetics or steroids
  2. Patient who are taboo of peripheral nerve block such as blood clotting disorder, infection, etc.
  3. Patients with uncontrolled medical or psychiatric problem
  4. Patient does not agree to participate in the study
  5. Patients who are pregnant or lactating
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
preoperative blocked leg: group preBUltrasound guided popliteal sciatic nerve block with 0.2% ropivcaineultrasound guided popliteal sciatic nerve block with 0.2% ropivacaine 20ml Before surgical incision
postoperative blocked leg: group postBUltrasound guided popliteal sciatic nerve block with 0.2% ropivcaineultrasound guided popliteal sciatic nerve block with 0.2% ropivacaine 20ml After surgical incision
Primary Outcome Measures
NameTimeMethod
Analgesic duration of nerve blockat 0, 0.5, 1, 4, 8, 12 hours after operation. And AM 9 and PM 5 of POD (Post Operative Day) 1

The difference of NRS during study time between group preB and group postB

The Numeric Rating Scale (NRS-11) is an 11-point scale for patient self-reporting of pain. It is for adults and children 10 years old or older.

0: No pain, 1-3: mild pain, 4-6: Moderate pain, 7-10: severe pain, 10: worst pain imaginable.

Secondary Outcome Measures
NameTimeMethod
Difference of analgesic consumption between both groupat 0, 0.5, 1, 4, 8, 12 hours after operation. And AM 9 and PM 5 of POD (Post Operative Day) 1

The difference of usage of rescue analgesics during study time between group preB and group postB after the operation

side effect of popliteal sciatic nerve blockat 0, 0.5, 1, 4, 8, 12 hours after operation. And AM 9 and PM 5 of POD (Post Operative Day) 1

any other sensation except pain

Trial Locations

Locations (1)

Asan Medical Center

🇰🇷

Seoul, Songpa-gu, Korea, Republic of

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