Preoperative Continuous Sciatic Perineural Analgesia in Patients Undergoing Lower Limb Revascularization

NCT ID: NCT04286971

Last Updated: 2020-05-19

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

Total Enrollment

15 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-02-19

Study Completion Date

2020-04-30

Brief Summary

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This study evaluates the pain score numerical rating, after sciatic analgesic continuous block, in patients with ischemic pain before surgery of limb revascularization. All patients received those blocks to control ischemic severe pain.

Detailed Description

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Peripheral Obstructive Arterial Disease (PAD) is a disease with a prevalence of 10 to 25% in the population over 55 years, increasing with age, and may have disabling pain as a symptom, and sometimes the surgical approach is required. In the context of public hospital in Rio de Janeiro, where patients need to wait for surgery, the Anesthesiology and Acute Pain service routinely has sciatic nerve analgesic block in the popliteal region as a preoperative procedure.

The primary objective of the present study is to describe a series of cases where the technique was applied in order to relieve the pain of these patients, following the Pain Score Numerical rating as a reference. Secondary objectives will be to describe difficulties associated with the technique and possible associated adverse factors.

Conditions

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Ischemic Leg Peripheral Vascular Disease

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

RETROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* preoperative continuous sciatic-popliteal nerve block
* lower limb angioplasty
* peripheral arterial disease;
* between 2017 and 2018 years;
* correct filling of numerical rating pain evaluation in the medical record

Exclusion Criteria

* peripheral block to treat another pathology or condition in te same patient;
* peripheral block at another concomitant site (other than the popliteal);
* No adequate record of the care received in the medical record
* if medical record is not available during the data collection period
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospital Municipal Miguel Couto

OTHER

Sponsor Role lead

Responsible Party

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Rafael Mercante Linhares

Head of Anesthesiology and Pain Medicine Department

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Rafael M Linhares

Rio de Janeiro, , Brazil

Site Status

Countries

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Brazil

References

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Luiten WE, Schepers T, Luitse JS, Goslings JC, Hermanides J, Stevens MF, Hollmann MW, van Samkar G. Comparison of continuous nerve block versus patient-controlled analgesia for postoperative pain and outcome after talar and calcaneal fractures. Foot Ankle Int. 2014 Nov;35(11):1116-21. doi: 10.1177/1071100714546640. Epub 2014 Aug 12.

Reference Type BACKGROUND
PMID: 25116132 (View on PubMed)

Thomas K, Barrett B, Tupper R, Dacenko-Grawe L, Holm K. Pain management after total knee arthroplasty: a case-control study of continuous nerve block therapy. Orthop Nurs. 2014 Sep-Oct;33(5):268-76. doi: 10.1097/NOR.0b013e3182879bd9.

Reference Type BACKGROUND
PMID: 25362748 (View on PubMed)

Gelfand HJ, Ouanes JP, Lesley MR, Ko PS, Murphy JD, Sumida SM, Isaac GR, Kumar K, Wu CL. Analgesic efficacy of ultrasound-guided regional anesthesia: a meta-analysis. J Clin Anesth. 2011 Mar;23(2):90-6. doi: 10.1016/j.jclinane.2010.12.005.

Reference Type BACKGROUND
PMID: 21377070 (View on PubMed)

Compere V, Cornet C, Fourdrinier V, Maitre AM, Duparc F, Biga N, Dureuil B. [Evaluation of continuous nerve block for postoperative pain management in orthopaedic surgery]. Ann Fr Anesth Reanim. 2005 Jul;24(7):795-801. doi: 10.1016/j.annfar.2005.04.025. French.

Reference Type BACKGROUND
PMID: 15949910 (View on PubMed)

Aubuchon A, Arnold WD, Bracewell A, Hoyle JC. Sciatic neuropathy due to popliteal fossa nerve block. Muscle Nerve. 2017 Oct;56(4):822-824. doi: 10.1002/mus.25622. Epub 2017 Jun 6.

Reference Type BACKGROUND
PMID: 28214338 (View on PubMed)

Dingemans SA, de Ruiter KJ, Birnie MFN, Goslings JC, van Samkar G, Schepers T. Comparable Postoperative Pain Levels Using 2 Different Nerve Blocks in the Operative Treatment of Displaced Intra-articular Calcaneal Fractures. Foot Ankle Int. 2017 Dec;38(12):1352-1356. doi: 10.1177/1071100717730337. Epub 2017 Sep 16.

Reference Type BACKGROUND
PMID: 28918661 (View on PubMed)

Kim NY, Lee KY, Bai SJ, Hong JH, Lee J, Park JM, Kim SH. Comparison of the effects of remifentanil-based general anesthesia and popliteal nerve block on postoperative pain and hemodynamic stability in diabetic patients undergoing distal foot amputation: A retrospective observational study. Medicine (Baltimore). 2016 Jul;95(29):e4302. doi: 10.1097/MD.0000000000004302.

Reference Type BACKGROUND
PMID: 27442676 (View on PubMed)

Dao T, Amaro-Driedger D, Mehta J. Successful treatment of Raynaud's syndrome in a lupus patient with continuous bilateral popliteal sciatic nerve blocks: a case report. Local Reg Anesth. 2016 Jun 15;9:35-7. doi: 10.2147/LRA.S97111. eCollection 2016.

Reference Type BACKGROUND
PMID: 27366104 (View on PubMed)

Joshi G, Gandhi K, Shah N, Gadsden J, Corman SL. Peripheral nerve blocks in the management of postoperative pain: challenges and opportunities. J Clin Anesth. 2016 Dec;35:524-529. doi: 10.1016/j.jclinane.2016.08.041. Epub 2016 Oct 20.

Reference Type RESULT
PMID: 27871587 (View on PubMed)

Other Identifiers

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25206319.3.0000.5279

Identifier Type: -

Identifier Source: org_study_id

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