The Lateral, Anterior, Medial (LAM) Femoral Cutaneous Block: A Case Series Harborview Medical Center, Seattle, WA
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 10
- 试验地点
- 1
- 主要终点
- Area of sensory change after nerve block
研究概览
简要总结
Skin donor sites in patients undergoing split-thickness skin grafting surgeries can be very painful postoperatively. This site is most often the anterolateral thigh, the pain at which location can traditionally be covered by a fascia iliaca nerve block, although that comes with the disadvantage of losing motor functions in the femoral nerve distribution. The LAM nerve block, which is relatively new, aims to provide analgesia in the distribution of the lateral and anterior femoral cutaneous nerves. In short, this nerve block would decrease the sensation of the anterolateral thigh area without affecting the motor function of the leg. Investigators aim to study the consistency and coverage size of sensation changes by mapping out the area after the block in each patient.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •18 years or older
- •Scheduled surgery for STSG w/ donor site coming from thigh
- •Care team requests LAM nerve block
- •Anticipated postop pain in the cutaneous areas of anterior and lateral thigh
排除标准
- •Inability to communicate sensation or motor changes in their body
- •Preexisting sensory or motor deficits in the femoral nerve distribution
- •Contraindication to the medication used or a peripheral nerve block, such as allergy to amide local anesthetics, severe liver dysfunction, injection site infection etc
- •Non-English Speaking/reading
- •Surgeries with anticipated or actual duration of 6 hours or longer
- •TBSA 20% or greater
- •Severe distracting injuries/polytrauma (e.g., large or significant bone fractures)
结局指标
主要结局
Area of sensory change after nerve block
时间窗: 20 min after nerve block placement
次要结局
未报告次要终点
研究者
Dorothy Wang
Acting Assistant Professor, Department of Anesthesiology and Pain Medicine
University of Washington
