Ultrasound Guided Popliteal Sciatic and Adductor Canal Block For Below Knee Surgeries
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Enrollment
- 200
- Locations
- 1
- Primary Endpoint
- Time required to ambulate
Study Overview
Brief Summary
Spinal anaesthesia remains as an established technique for lower limb surgeries, but it has its own adverse effects in perioperative morbidity. With a good knowledge of dermatomes, myotomes and osteotomes of lower limbs and the use of ultrasound for peri-neural deposition of local anaesthetics, we can overcome the adverse effects of spinal anaesthesia. Neuraxial blocks can be catastrophic due to instability of haemodynamic parameters and coagulopathy. To overcome the adverse effects of other modes of anaesthesia, studies shows, ultrasound guided peripheral nerve blocks can be a safe alternative.
This study aims to delineate the sensory and motor block onset time, hemodynamic parameters and duration of post-operative analgesia for below – knee surgery under ultrasound guided combined popliteal sciatic and adductor canal block.
200 patients of either sex coming for elective below knee surgeries will be this study .Patients allergic to local anaesthetic agents, opiods, patients with Neurological deficits, patients not willing or non-co-operative for the procedure are excluded from this study.
After obtaining consent ,ultrasound guided popliteal sciatic and adductor canal block will be given.
The degree of motor and sensory blockade ,hemodynamic parameters, ease of positioning ,patient comfort will be noted.
Post operatively, time required for ambulation and time requirement for the need of analgesics are noted.
Incidence of complication if any, and comfort of the surgeon will aso be noted
Study Design
- Study Type
- Interventional
- Allocation
- Not Applicable
- Masking
- Not Applicable
Eligibility Criteria
- Ages
- 18.00 Year(s) to 60.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •1.ASA 1, ASA 2,ASA 3,ASA 4 2.In-Patient undergoing below knee surgeries.
Exclusion Criteria
- •1.Patients allergic to local anaesthetic agents, opioids 2.Patients with Neurological deficits 3.Patients not willing or non-co-operative for the procedure.
Outcomes
Primary Outcomes
Time required to ambulate
Time Frame: Immediately after surgery and every 30 minutes there after
Secondary Outcomes
- Degree of motor blockade as judged by modified Bromage scale(Immediately after surgery and every 15 minutes there after)
- Ease of surgery as determined by the surgeon(After completion of surgery)
- Post-operative analgesia duration(Immediately after surgery and every 15 minutes there after till administration of analgesics)
- Patient satisfaction(After positioning for surgery and end of the surgery)