Ultrasound-Guided Continuous Sciatic Nerve Blocks: Popliteal Versus Subgluteal Catheters
Overview
- Phase
- Phase 4
- Intervention
- Not specified
- Conditions
- Foot Surgery
- Sponsor
- University of California, San Diego
- Enrollment
- 2
- Locations
- 2
- Primary Endpoint
- Muscle Strength (MVIC) of the hamstring muscles
- Status
- Terminated
- Last Updated
- 13 years ago
Overview
Brief Summary
To determine the relationship between perineural catheter location along the sciatic nerve (popliteal versus subgluteal placement) and infusion effects for ultrasound-guided continuous sciatic nerve blocks.
Investigators
Brian M. Ilfeld, MD, MS
Associate Professor, In Residence
University of California, San Diego
Eligibility Criteria
Inclusion Criteria
- •undergoing foot surgery with a sciatic perineural catheter for postoperative analgesia
- •spending the first postoperative night hospitalized
- •age 18 years or older
Exclusion Criteria
- •pregnancy
- •inability to communicate with the investigators and hospital staff
- •incarceration
- •clinical neuropathy in the surgical extremity
Outcomes
Primary Outcomes
Muscle Strength (MVIC) of the hamstring muscles
Time Frame: 08:00-09:00 morning after surgery as a percentage of baseline
We will evaluate hamstring strength which is innervated by the sciatic nerve with an isometric force electromechanical dynamometer to measure the force produced during a maximum voluntary isometric contraction (MVIC) in a seated position with the knees flexed at 90º
Secondary Outcomes
- Sensory Effect(08:00-09:00 morning after surgery)
- Pain Scores(from leaving the PACU until 08:00 the morning after surgery)
- Sleep Disturbances(recorded at 08:00-09:00 the morning after surgery for the previous night)
- Total Infusion(recorded at 08:00-09:00 the morning following Surgery)
- Anesthetic Leakage(recorded at 08:00-09:00 the morning following Surgery)
- analgesic consumption(end of PACU stay until 08:00-09:00 the morning following surgery)