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Application of Combined Lumbar Plexus and Sciatic Nerve Block

Phase 4
Completed
Conditions
Anesthesia
Interventions
Procedure: Nerve block
Procedure: Combined spinal and epidural anesthesia
Registration Number
NCT02084368
Lead Sponsor
Guangzhou General Hospital of Guangzhou Military Command
Brief Summary

The research is to study the effectiveness and safety of combined lumbar plexus and sciatic nerve block by the guide of peripheral nerve stimulator (PNS) in unilateral knee replacement.There have be some papers which supported that combined lumbar plexus and sciatic nerve block may be more suitable for the old men.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
34
Inclusion Criteria
  1. Patients of American Association of anesthetists(ASA)Grade 1、2 or 3
  2. Aged between 18 and 85 years
  3. Undergoing elective total knee replacement.
Exclusion Criteria
  1. Mental illness can not match
  2. Nerve block, epidural anesthesia contraindicated
  3. People who have Slow-type arrhythmias
  4. History of chronic headaches and long-term use of analgesic drugs
  5. People who were postoperative consciousness, language or hearing impaired

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Nerve blockNerve blockPatients in this group were assigned to receive lumbar plexus block and sciatic nerve block guided by PNS.
combined spinal and epidural anesthesiaCombined spinal and epidural anesthesiaCombined spinal and epidural anesthesia were performed in patients of this group.
Nerve blockRopivacainePatients in this group were assigned to receive lumbar plexus block and sciatic nerve block guided by PNS.
combined spinal and epidural anesthesiaBupivacaineCombined spinal and epidural anesthesia were performed in patients of this group.
Primary Outcome Measures
NameTimeMethod
Maintenance time of sensory and motor nerve blockup to 24h after operation

from the end of injection of local anesthetic drug up to 24h after operation

Secondary Outcome Measures
NameTimeMethod
The change of hemodynamics0, 5, 10, 20, 30, 60 min after injection

the changes of SBP and DBP at 0, 5, 10, 20, 30, 60 min after injection

Trial Locations

Locations (1)

Guangzhou Military Region General Hospital, Department of Anesthesiology

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Guangzhou, Guangdong, China

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