A Randomized Controlled Comparative Study of USG Guided Popliteal Sciatic Nerve Block Plus Saphenous Nerve Block and Spinal Anaesthesia for Below Knee Surgeries.
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- To compare efficacy of anaesthesia provided by USG guided popliteal sciatic nerve plus saphenous nerve nerve and spinal anaesthesia for below knee surgeries.
Study Overview
Brief Summary
As there is limited related studies, which suggests use of popliteal sciatic nerve block plus saphenous nerve for below knee surgeries patient. This study is mainly focused on proving the efficacy of popliteal sciatic nerve block plus saphenous nerve block in below knee surgery patient is more effective than spinal anaesthesia specially in high risk patients. By giving this popliteal sciatic nerve block plus saphenous nerve block, patient will be more hemodynamically stable and less post operative pain for longer duration. There will be use of less analgesia postoperatively.
Study Design
- Study Type
- Interventional
- Allocation
- Computer generated randomization
- Masking
- Not Applicable
Eligibility Criteria
- Ages
- 18.00 Year(s) to 60.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •Patients undergoing below knee surgeries who will give informed written consent to be part of study in ASAI-II.
Exclusion Criteria
- •Patients with history of allergy to local anaesthetics Patient with history of coagulopathy or patient on anticoagulant Patient with skin infection at site of block Neurovascular deficit involving the lower limb Polytrauma patients involving oher fractures, head injury Diabetes mellitus with autonomic neuropathy Patient with peripheral vascular disease Pregnant woman.
Outcomes
Primary Outcomes
To compare efficacy of anaesthesia provided by USG guided popliteal sciatic nerve plus saphenous nerve nerve and spinal anaesthesia for below knee surgeries.
Time Frame: For duration of intraoperative 90mins and postoperative 24hours , 2 hourly for 1st 6 hours and 6 hourly for remaining 18 hours
Secondary Outcomes
- To assess and compare the postoperative pain, duration of analgesia and analgesic requirement in these patients.(To evaluate and compare the incidence of complications or side effects assciated with both techniques, including hemodynamic effects, nerve damage)