Neuromuscular Inhibition Clinical Trial
Official title:
Comparison of Perineural Catheter Depth for the Continuous Popliteal Nerve Block Using Ultrasound Guidance and Dermabond
The study will investigate the difference in success rate between popliteal peripheral nerve catheters placed at 1 centimeter compared to 5 centimeters past the tip of a Tuohy needle.
Traditionally for the lower extremity, peripheral nerve catheters have been threaded greater
than or equal to 5 centimeters past the tip of the Tuohy needle. The major rational for this
practice is to reduce dislodgement. However, the greater the distance that a catheter is
advanced, the greater the risk of contacting undesired structures, kinking, looping and
knotting. For the continuous popliteal nerve block, the catheter is threaded perpendicular
to the course of the nerve. This could result in the tip of the catheter being a significant
distance from the targeted nerve which may lead to a decrease in the success rate or
efficacy of the block.
Greater efficacy may be seen if the needle is closer to its target. This may be quantified
by documenting a faster onset of motor and sensory changes and/or a lower catheter infusion
rate required to maintain pain control. The study will investigate the difference in success
rate between popliteal peripheral nerve catheters placed at 1 centimeter compared to 5
centimeters past the tip of a Tuohy needle.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Treatment
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT01308554 -
Pain Relieving Efficacy of TAP Block in Patients After Laparoscopic Gastric Bypass.
|
Phase 4 |