ULTRASOUND GUIDED POPLITEAL SCIATIC NERVE BLOCK USING BUPIVACAINE ALONE OR COMBINED WITH MAGNESIUM SULFATE FOR DIABETIC FOOT SURGERIES
Overview
- Phase
- Not Applicable
- Intervention
- bupivacaine
- Conditions
- Diabetic Patient
- Sponsor
- Alexandria University
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- duration of postoperative analgesia
- Last Updated
- 4 years ago
Overview
Brief Summary
Popliteal Sciatic nerve block is a regional technique that provides safe and reliable perioperative anesthesia and analgesia of lower leg and foot used in diabetic patients. Different additives have been used with local anaesthetics to achieve dense and prolonged block. Magnesium sulfate possesses analgesic properties owing to its effect on NMDA receptors.
Investigators
rehab zayed
Assisstant Professor of Anesthesia
Alexandria University
Eligibility Criteria
Inclusion Criteria
- •(ASA) II or III
- •scheduled for diabetic foot surgeries.
Exclusion Criteria
- •Patients who refused the anaesthetic technique,
- •whose BMI ≥ 35 kg/ m2,
- •unable to properly describe postoperative pain to investigator (dementia, delirium, psychiatric and neurological disorders),
- •patients with coagulopathy, skin infection at the site of injection,
- •preoperative use of opioid or non-steroidal anti-inflammatory drugs,
- •allergy or contraindication to studied medication
Arms & Interventions
group B
28ml of 0.25% bupivacaine and 2ml normal saline
Intervention: bupivacaine
group BM
received 28 ml of 0.25% bupivacaine and 2 ml magnesium sulfate 10%.
Intervention: bupivacaine
group BM
received 28 ml of 0.25% bupivacaine and 2 ml magnesium sulfate 10%.
Intervention: magnesium sulfate
Outcomes
Primary Outcomes
duration of postoperative analgesia
Time Frame: 24 hours
evaluate the effects of adding magnesium sulfate to bupivacaine versus bupivacaine alone in popliteal sciatic nerve block with ultrasound guidance for diabetic foot surgeries as regards the duration of postoperative analgesia