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A comparison of ultrasound guided and nerve stimulator assisted popliteal nerve blocks for foot surgery

Not Applicable
Recruiting
Conditions
Pain relief during and after foot surgery
Anaesthesiology - Pain management
Registration Number
ACTRN12610000925044
Lead Sponsor
Mr Harvinder Bedi
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
150
Inclusion Criteria

Foot Surgery which will last <90 mins and require an overnight stay.
Calf tourniquet
>18 yrs
American Society of Anesthesiologists (ASA) score I - III

Exclusion Criteria

Known neuropathies
Diabetics with a neuropathy
Patients receiving muscle relaxant
Coagulopathy or on Anticoagulants
Infection / Skin problems precluding injection of block
Previous surgery in the popliteal region
Allergy to local anaesthetic
Patients on opioids for chronic analgesic therapy
Patients with a known Chronic regional pain syndrome (CRPS) / neuroma
Renal / liver failure where post operative analgesia can not be used

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Post procedure analgesic requirements. The analgesic and dose will be recorded on a form by the anaesthetist intraoperatively and by nursing staff in recovery and then on the ward[recorded during operation, at 2 hours, 4 hours and 16 hours post block]
Secondary Outcome Measures
NameTimeMethod
Speed to perform block[Measured intraoperatively];Time to onset before 4 hours[Assessment of the completeness of the block at 4 hours to be made by the nursing staff];Patient satisfaction[Patients will be asked by the nursing staff on discharge if they were satisfied with the block and analgesia that it provided. This will be recorded on a form];Residual neurological deficit at 8 weeks[At a clinic review at 8 weeks a detailed motor and sensory examination will be recorded on a form to assess any deficit whihc may be block related.]
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