Patient came for foot surgery and we used ankle block using ropivacaine 0.5% in one group and ropinvacaine 0.5% plus dexamethasone in another group

Completed

• Conditions: Injuries to the ankle and foot, (2) ICD-10 Condition: S929||Unspecified fracture of foot and toe,

• Registration Number: CTRI/2023/06/054023
• Lead Sponsor: Mahatma Gandhi Medical College And Hospital

Brief Summary

Central neuraxial block or spinal anaesthesia remainsan established technique for lower limb surgeries but with considerablehemodynamic changes few of these challenges which are faced by spinalanaesthesia block preoperatively are infection at the site of injection,deformities of the vertebral column, coagulopathy or other bleeding diathesis,severe hypovolemia or increased intracranial pressure.Ankle block usuallyprovides sufficient anesthesia for foot surgeries. It is often applied as anadjuvant to general anesthesia to establish postoperative analgesia but afterevolution of USG guided ankle block it is now used as sole surgical anesthesiaas well as post operative analgesia and success rate has become much higher.The advantages of ankle block include the capability of controlling acutesurgical pain, quicker patient ambulation, and absence of adverse effectsrelated to opioids or nonsteroidal anti-inflammatory drugs.

It is often difficult to demarcate the smallnerves around the ankle on static images. Real-time imaging makes theirposition and boundaries easier to define; as we can follow their course and seetheir location relative to the other landmarks and structures.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-01-07
• Study Completion: 2024-02-28
• Last Update Posted: 2024-10-07

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• 1.Patients who are willing to participate in this study by written and informed consent.
• 2.Patients scheduled for foot surgeries.
• 3.Patients of either sex having age 18-65years.
• 4.Patient with ASA grade I & II.

Exclusion Criteria

• 1.Patient’s refusal for peripheral nerve block.
• 2.Patients allergic to local anesthetic drugs.
• 3.Patients on opioids and other analgesics for chronic pain.
• 4.Neurological deficits.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
to evaluate the effect of adjuvant dexamethasone on duration of analgesia in USG guided ankle block using 0.5% ropivacaine.	The effects will be assessed for 24hrs post procedure.

Secondary Outcome Measures

Name	Time	Method
Pulse rate , Blood pressure , Spo2, Temperature, Respiratory Rate	The effects will be assessed for 3 hrs post procedure

Trial Locations

Locations (1)

Mahatma Gandhi hospital; 🇮🇳 Jaipur, RAJASTHAN, India

Mahatma Gandhi hospital

🇮🇳Jaipur, RAJASTHAN, India

Dr Aditi Chittora

Principal investigator

9664489449

adichittora24@gmail.com