Effectiveness of Peripheral Blocks Under Ultrasound Control With and Without Electrical Nerve Stimulation in Lower Limb Surgeries
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 40
- 试验地点
- 2
- 主要终点
- Сomplete motor sciatic nerve block
研究概览
简要总结
In modern anesthesiology, peripheral nerve blocks are performed using ultrasound control and electrical stimulation of peripheral nerves (PEN), or only ultrasound control or only PEN. The most effective methods are with the use of ultrasound control. Until now, the effectiveness of the sciatic nerve blockade by the subgluteal approach, performed only under ultrasound control without ESP, in comparison with the blockade of the sciatic nerve performed under ultrasound control with ESP, has not been established.
Research hypothesis: the blockade of the sciatic nerve by the subgluteal approach performed only under ultrasound control has the same effectiveness as the blockade performed under the ultrasound control with EPN.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 90 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •indication requiring anesthesia maintenance;
- •patient's written consent about the type of anesthesia and possible complications of regional anesthesia
排除标准
- •patient's refusal of application for the proposed form of anesthesia;
- •patients younger than 18 years;
- •patients weighing less than 50 kg;
- •a physical status score of more than 3 determined by the American Society of Anesthesiologists (ASA);
- •a history of allergic reactions to the drugs used;
- •coagulopathies;
- •infections of the skin at the injection site;
- •neurological or neuromuscular diseases;
- •severe liver diseases or kidney failures;
- •an inability to cooperate with the patient.
结局指标
主要结局
Сomplete motor sciatic nerve block
时间窗: The quality of motor blocks was assessed after 45 min of administration of the sciatic nerve block. The evaluation of the block was carried out by an anesthesiologist who was not involved in the study, and was blinded to solution that had been
The assessment of the motor block was carried out with the help of the following scale: + +\\ which indicated that movements were completely absent; +\\ which indicated that movements were partially preserved or were uncoordinated; and -\\ which indicated that movements were fully preserved.Flexion-extension of the foot and toes is assessed
Сomplete sensory sciatic nerve block
时间窗: The quality of sensory blocks was assessed after 45 min of administration of the sciatic nerve block. The evaluation of the block was carried out by an anesthesiologist who was not involved in the study, and was blinded to solution that had been
The stimulus of the needle prick was applied to check the sensory block of the sciatic nerve. Stimulation with a needle is carried out in the area of innervation of the sciatic nerve below the knee The assessment of skin sensitivity was carried out with the help of a similar scale: + +\\ indicating a complete sensory block; +\\ indicating a partial sensory block, a patient was unable to differentiate between the type of stimuli ; and -\\ indicating that the skin sensitivity was fully preserved.
The need for additional pain relief during surgery
时间窗: During the operation (start of operation - end of operation)
The need for additional use of narcotic analgesics or local anesthesia during surgery (criterion-reporting of painful feelings during the operation). Based on the patient's complaint about pain of any intensity during the operation.
次要结局
未报告次要终点
研究者
Valery Piacherski, Ph.D.
Chief of the Department of Anesthesiology and Intensive Care
Mogilev Regional Clinical Hospital