Postoperative Pain Clinical Trial
— Echostim1Official title:
Comparison of Visibility of Echogenic and Standard Non-echogenic Block Needles During Ultrasound Guided Sciatic Blocks. A Randomized Prospective Study
Verified date | January 2012 |
Source | Lawson Health Research Institute |
Contact | n/a |
Is FDA regulated | No |
Health authority | Canada: Ethics Review Committee |
Study type | Interventional |
Patients scheduled for total knee replacements and suitable for sciatic nerve block will be
randomized to one of 2 groups.
Group 1 will have the nerve block performed using a standard Pajunk block needle under
ultrasound guidance and with electrical nerve stimulation (ENS), and have catheter placement
also guided by electrical nerve stimulation. Group 2 will have the block performed using a
Sonoplex echogenic block needle and have an echogenic catheter sited, all under ultrasound
(US) guidance. Group 2 will have needle location aided by ENS, but ENS will not be used for
catheter location.
An observer blinded to the needle type will assess the quality of needle visualisation on a
recording of the US image taken during the procedure, along with adequacy of spread of local
anesthetic. The primary outcome will be needle visibility, and secondary outcomes will be
block success rate, block performance time, complication rate, number of needle passes per
block, and adequacy of spread of local anesthetic.
Status | Completed |
Enrollment | 70 |
Est. completion date | January 2013 |
Est. primary completion date | January 2013 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years to 80 Years |
Eligibility |
Inclusion Criteria: - Patients age 18-80 years listed for total knee arthroplasty. - ASA I-IV. - Able to give informed consent - Able to cooperate with study protocol. Exclusion Criteria: - Standard contraindication to regional anaesthesia/analgesia: local infection, coagulopathy, local anaesthetic allergy, patient refusal, diabetes mellitus, peripheral neuropathy, pre-existing nerve injury) - Inability to consent - Patient refusal - Pregnant patients |
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Canada | London Health Sciences Centre University Hospital | London | Ontario |
Lead Sponsor | Collaborator |
---|---|
Lawson Health Research Institute | The Physicians' Services Incorporated Foundation |
Canada,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Visibility of needle tip and catheter tip | Needle tip visibility graded by blinded observers Catheter tip visibility graded by blinded observers | Day 1 | No |
Secondary | number of needle passes | The number of times the needle is withdrawn more than 2 cm and resited | Day 1 | Yes |
Secondary | success rate of block | Motor and sensory block will be evaluated on standard grading system every 5 minutes for 30 minutes post injection | Day 1 | No |
Secondary | Block procedure time | Time from needle insertion to the end of catheter insertion | Day 1 | No |
Secondary | Immediate complications | Vascular punctures, venous or arterial | Day 1 | Yes |
Secondary | delayed complications | telephone interview to elicit delayed neurologic symptoms | One week after surgery/block | Yes |
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