Ultrasound Guided Block For Below Knee Surgeries

Not yet recruiting

• Conditions: Diseases of the musculoskeletal system and connective tissue,

• Registration Number: CTRI/2020/11/029117
• Lead Sponsor: Vinayaka Missions Medical College

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

Detailed Description

Not available

Study Timeline

• Study Start: 2020-11-23
• Last Update Posted: 2021-07-05

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 200

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.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Time required to ambulate	Immediately after surgery and every 30 minutes there after

Secondary Outcome Measures

Name	Time	Method
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

Trial Locations

Locations (1)

Vinayaka Missions Medical College; 🇮🇳 Karaikal, PONDICHERRY, India

Vinayaka Missions Medical College

🇮🇳Karaikal, PONDICHERRY, India

Dr K Cheran

Principal investigator

9443144652

anscheran.k73@gmail.com