Comparison of Two Position for Ultrasound Guided Lumbar Plexus and Sciatic Nerve Block

NCT ID: NCT00988234

Last Updated: 2011-02-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-04-30

Study Completion Date

2010-12-31

Brief Summary

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In the present study, the investigators will test the effect of two position on posterior lumbar plexus and subgluteal or sub-greater trochanter sciatic nerve block.

Detailed Description

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The posterior lumbar plexus block approach was described approximately 30 years ago, using surface anatomical landmarks and a loss-of-resistance technique, but over the years it was almost abandoned for its low successful rate, the huge numbers of adverse effects and its difficulties to be performed. The introduction of the nerve stimulator and ultrasound guided technique in recent years increased the success rate in various peripheral nerve blocks and decreased adverse effects. Ultrasound guided LPB as well as sciatic nerve block technique in a small patient population resulting in a encouraging result, but published clinical data on optimal patient position for ultrasound-guided LPB are limited. We designed this prospective randomized study to compare the success rate, time of performance and complications of ultrasound guided posterior lumbar plexus block as well as subgluteal or sub-greater trochanter sciatic nerve block under lateral decubitus position v.s. prone position.

Conditions

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Lower Limb Surgery

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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SGPP

ultrasound guided posterior lumbar plexus block and subgluteal sciatic nerve block under prone position

Group Type EXPERIMENTAL

SGPP

Intervention Type PROCEDURE

ultrasound guided posterior lumbar plexus block and subgluteal sciatic nerve block under prone position

SGTPP

ultrasound guided posterior lumbar plexus block and sub-greater trochanter approach under prone position

Group Type EXPERIMENTAL

SGTPP

Intervention Type PROCEDURE

ultrasound guided posterior lumbar plexus block and sub-greater trochanter approach under prone position

SGLP

ultrasound guided posterior lumbar plexus block and subgluteal sciatic nerve block under lateral decubitus position

Group Type EXPERIMENTAL

SGLP

Intervention Type PROCEDURE

ultrasound guided posterior lumbar plexus block and subgluteal sciatic nerve block under lateral decubitus position

SGTLP

ultrasound guided posterior lumbar plexus block and sub-greater trochanter approach under lateral decubitus position

Group Type EXPERIMENTAL

SGTLP

Intervention Type PROCEDURE

ultrasound guided posterior lumbar plexus block and sub-greater trochanter approach under lateral decubitus position

Interventions

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SGPP

ultrasound guided posterior lumbar plexus block and subgluteal sciatic nerve block under prone position

Intervention Type PROCEDURE

SGTPP

ultrasound guided posterior lumbar plexus block and sub-greater trochanter approach under prone position

Intervention Type PROCEDURE

SGLP

ultrasound guided posterior lumbar plexus block and subgluteal sciatic nerve block under lateral decubitus position

Intervention Type PROCEDURE

SGTLP

ultrasound guided posterior lumbar plexus block and sub-greater trochanter approach under lateral decubitus position

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* 18 to 75 years old
* elective unilateral lower limb surgery
* ASA Physical Status ASA I-III

Exclusion Criteria

* age \<18 or \>75 year old
* ASA Physical Status \>ASA III
* abnormal blood coagulation
* infection near puncture place
* nerve injury
* bilateral lower limb surgery
* patients with lumbar vertebral trauma
* inability to be properly positioned
* chronic narcotic therapy or illicit drug use
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Huazhong University of Science and Technology

OTHER

Sponsor Role lead

Responsible Party

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Department of Anesthesiology, Tongji Hospital, Tongji medical college, Huazhong University of science and Technology

Principal Investigators

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Yuke Tian, MD.

Role: STUDY_CHAIR

Department of Anaesthesiology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology

Locations

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Department of Anaesthesiology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, China

Site Status

Countries

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China

Other Identifiers

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TJHMZK01001

Identifier Type: -

Identifier Source: org_study_id

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