To study effectiveness of lumbar sympathetic block in patients with lower limb vascular disease with ultrasound and itâ??s confirmation by X-ray
Not Applicable
- Conditions
- Health Condition 1: null- Patients suffering from pain due to peripheral arterial disease which causes decreased blood supply to lower limbs
- Registration Number
- CTRI/2018/09/015681
- Lead Sponsor
- AIIMS
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Yet Recruiting
- Sex
- Not specified
- Target Recruitment
- 0
Inclusion Criteria
1. Age-18-80yrs
2.Rest pain
3.Leg ulcer/foot ulcer not responding to oral medication
4.Digital gangrene
5.Ankle brachial Pressure index 0.3-0.9
6.Patients suffering from diatal vessl diseaese
7.Patients willing to give consent
Exclusion Criteria
1. Patient not willing to give consent
2. Coagulopathy
3.Allergic to local anaesthetics
4.Diabetes mellitus
5.BMI > 35kg/m2
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Successful Needle position - Position to radiologically defined end point <br/ ><br>Unsuccessful- Distance from radiologically defined end point <br/ ><br> <br/ ><br>Timepoint: After the ultrasound insertion of the needle, then the position is seen by fluoroscopy in the anterior and lateral view after injecting the iohexal dye. Succesful endpoint is the presence of dye in the lateral aspect of the L2 or L3 vertebrae <br/ ><br> <br/ ><br>
- Secondary Outcome Measures
Name Time Method -After giving the block, the patient will be followed weekly for 6 weeks. <br/ ><br>-After block Numerical Rating Scale, and Ulcer diameter will be assessed weekly for 6wks <br/ ><br> <br/ ><br>Timepoint: The patient is asked to make three levels pain ratings, corresponding to current, best and worst pain experienced over the past 24 hours. The average of the 3 ratings was used to represent the patientâ??s level of pain over the previous 24 hours