The Impact of Chloroprocaine 3% for Ambulatory Foot Surgery on Perioperative Process Costs

Completed

• Conditions: Impact of Anesthetic Choice on Costs
• Interventions: Drug: Chloroprocaine; Drug: Mepivacaine

• Registration Number: NCT02406703
• Lead Sponsor: Ospedale Regionale Bellinzona e Valli

Brief Summary

Background and Objectives Short acting regional anesthetics have already been successfully employed for peripheral nerve blocks in an ambulatory surgery setting. However, the impact on direct and indirect perioperative costs comparing two different short-acting local anesthetics has not been performed, yet.

Methods In an observational study including 50 patients per group, patient undergoing popliteal block with chloroprocaine 3% or mepivacaine 1.5% for ambulatory minor foot surgery were compared. The primary outcome was the saving of both direct and indirect perioperative costs. Secondary outcomes were block success, onset time and block duration, patient satisfaction and unplanned outpatient visits or readmissions after discharge.

Detailed Description

Not available

Study Timeline

• Study Start: 2014-01
• Primary Completion: 2014-04
• Study Completion: 2014-05
• Study First Submitted: 2015-03-30
• Study First Submitted QC: 2015-04-01
• Study First Posted: 2015-04-02
• Status Verified: 2020-03
• Last Update Submitted: 2020-03-09
• Last Update Posted: 2020-03-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• ASA I-III scheduled for elective, unilateral, ambulant minor foot surgery (percutaneous hallux valgus correction, osteotomies, tenotomies, mallet and hammer toes correction, screws and/or plaques removal)

Exclusion Criteria

• known allergy to drugs used in the study;
• coagulopathies, known neuropathy;
• pregnancy;
• chronic pain;
• drug or alcohol abuse;
• psychiatric disease or lack of competence affecting compliance and evidence of ongoing sepsis or local skin / subcutaneous tissues infections in the popliteal fossa.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Chloroprocaine	Chloroprocaine	Patient undergoing popliteal block with chloroprocaine
Mepivacaine	Mepivacaine	Patient undergoing popliteal block with mepivacaine

Primary Outcome Measures

Name	Time	Method
Cost minimization analysis	6 months