MedPath

Trial Comparing Duration of Analgesia After Popliteal Fossa Sciatiac Nerve Block With Ropivacaine 0.5% When Combined With Placebo, Dexamethasone 4mg or Dexamethasone 8 mg

Not Applicable
Withdrawn
Conditions
Pain, Sciatic Block
Interventions
Registration Number
NCT01641419
Lead Sponsor
Baylor College of Medicine
Brief Summary

The purpose is to find out if the addition of dexamethasone to ropivacaine 0.5% increases the duration of pain relief provided by popliteal sciatic nerve block performed for foot/ankle surgery. The investigators also want to find out if there is a difference between 4 and 8 mg dose of dexamethasone.

Detailed Description

Not available

Recruitment & Eligibility

Status
WITHDRAWN
Sex
All
Target Recruitment
Not specified
Inclusion Criteria
  • Ages 18-64
  • ASA Physcial Status classification 1-3
  • Foot and ankle surgery at Ben Taub General Hospital
Exclusion Criteria
  • diabetes mellitus
  • peripheral neuropathy
  • coagulopathy
  • allergy to study drugs
  • systemic glucocorticoid treatment (for 2 weeks or more) within 6 months of surgery
  • chronic opioid use at home
  • patient inability to properly describe pain to investigators
  • pregancy
  • prisoners
  • patient or surgeon refusal

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
PlaceboPlaceboRopivacaine 0.5% plus 2ml of normal saline used for nerve block
Dexamethasone 8 mgDexamethasone 8 mgRopivacaine 0.5% plus 2ml of dexamethasone 8 mg used for nerve block
Dexamethasone 4 mgDexamethasone 4 mgRopivacaine 0.5% plus 2ml of dexamethasone 4 mg used for nerve block
Primary Outcome Measures
NameTimeMethod
Duration of analgesia48 hours

Duration of analgesia of popliteal fossa sciatic nerve block defined as time of first pain as described by patient minus time of block placement in minutes

Secondary Outcome Measures
NameTimeMethod
Total pain medication24 hours

Total amounts of morphine, fentanyl and hydrocodone/acetaminophen that the patient required for pain control during first 24 hours after surgery.

All patients, regardless of group, will receive a standardized postoperative pain medication regimen which will include hydrocodone/acetaminophen tablets primarily, and morphine/fentanyl as needed.

Pain scores24 hours

Pain score measured of numeric analog scale from 0-10 during first 24 hours measures and 0,1,2,4,8,12, and 24 hours after surgery.

Trial Locations

Locations (1)

Ben Taub General Hospital

🇺🇸

Houston, Texas, United States

© Copyright 2025. All Rights Reserved by MedPath