Orthopedic Surgery Clinical Trial
Official title:
Pain Relief After Forefoot Surgery: Tibial Perineural Catheter vs. Wound Catheter Infusion
The aim to test whether continues local anaesthetic infusion via tibial catheter or wound
catheter will improve pain relief following forefoot surgery
In this sequential prospective randomised, controlled clinical trial,75 Patients undergoing
forefoot surgery will be randomized into three groups (tibial, wound, control). All groups
will receive ankle block ± general anesthetic (standard technique). The tibial group will
have a tibial catheter inserted through which local anaesthetic will be infused. The wound
group will have a catheter inserted directly into the wound immediately after surgery. The
control group will have a sham catheter (covered by a bandage across foot) attached to a
pump which will not infuse. Patient maximum pain scores (primary outcome measure), nausea/
vomiting, analgesia use, satisfaction and sleep disturbance will be recorded
postoperatively. All groups will be then followed by telephone calls 48 hours. Patients will
be instructed to come to the clinic on the 4th postoperative day where the catheter will be
removed.
Status | Not yet recruiting |
Enrollment | 75 |
Est. completion date | April 2011 |
Est. primary completion date | February 2011 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Both |
Age group | 18 Years to 80 Years |
Eligibility |
Inclusion Criteria: - Age 18 years or older (ASA I & II) - Able to give written consent - Patients having elective forefoot surgery with a planned ankle block. - Expected postoperative pain to be at least moderate in severity the day following surgery Exclusion Criteria: - Refusal - Inability to communicate - History of alcohol or opioid abuse (also chronic opioid user) - Mental or medical conditions which may affect quantifying pain scores (VAS) |
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver), Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
United Kingdom | Nottingham University Hospitals NHS Trust | Nottingham |
Lead Sponsor | Collaborator |
---|---|
Nottingham University Hospitals NHS Trust |
United Kingdom,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Post-operative pain | 2,8,12,24,48 hr | No |
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