Dose-finding Study: Popliteal Sciatic Nerve Block in Patients Undergoing Diabetic Foot Surgery

NCT ID: NCT04981067

Last Updated: 2024-11-29

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

45 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-08-24

Study Completion Date

2026-12-31

Brief Summary

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The purpose of this study was to determine the minimum effective dose of a local anesthetic for proper anesthesia for popliteal sciatic nerve block under ultrasound guidance in patients undergoing surgery for diabetic foot disease.

Detailed Description

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Unlike general patients, patients with diabetic foot disease often have diabetic neuropathy and thus have increased sensitivity to local anesthetics. Therefore, when performing sciatic nerve block, it is essential to properly adjust the dose to prevent neurotoxicity and delay in recovery due to local anesthetics.

If the appropriate effective dose of local anesthetic for sciatic nerve block is found in patients with diabetic foot through this study, it is expected that it will be a useful basis for establishing a safe anesthetic method in the case of diabetic foot surgery.

Conditions

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Diabetic Foot Diabetic Neuropathies

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

The biased coin design up-and-down method
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Sciatic nerve block using same or decreased concentration of local anesthetic

If the sciatic nerve block in the previous participant was successful, the concentration of local anesthetic would be maintained or decreased 0.05% in the next patient based on a random assignment.

Group Type OTHER

Maintain the concentration of ropivacaine as same as those used in the previous participant

Intervention Type OTHER

Maintain the same concentration of ropivacaine used in the previous participant with an 89% chance through a random assignment

Decrease the ropivacaine concentration by 0.05% from the concentration used in the previous participant

Intervention Type OTHER

Decrease ropivacaine concentration by 0.05% from the concentration used in the previous participant with an 11% chance through a random assignment

Sciatic nerve block using increased concentration of local anesthetic

If the sciatic nerve block in the previous participant was not successful, the concentration of local anesthetic would be increased 0.05% in the next patient.

Group Type OTHER

Increase the ropivacaine concentration by 0.05% from the concentration used in the previous participant

Intervention Type OTHER

Increase ropivacaine concentration by 0.05% from the concentration used in the previous participant.

Interventions

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Maintain the concentration of ropivacaine as same as those used in the previous participant

Maintain the same concentration of ropivacaine used in the previous participant with an 89% chance through a random assignment

Intervention Type OTHER

Decrease the ropivacaine concentration by 0.05% from the concentration used in the previous participant

Decrease ropivacaine concentration by 0.05% from the concentration used in the previous participant with an 11% chance through a random assignment

Intervention Type OTHER

Increase the ropivacaine concentration by 0.05% from the concentration used in the previous participant

Increase ropivacaine concentration by 0.05% from the concentration used in the previous participant.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adult patients who can be operated under popliteal sciatic nerve block among patients undergoing surgery for diabetic foot disease

Exclusion Criteria

1. Infection of the popliteal region
2. Severe coagulation abnormality
3. Allergic reaction or hypersensitivity to local anesthetics
4. Neurological abnormalities other than diabetic neuropathy in the lower extremity of the operation site
5. When it is impossible to evaluate sensory blockage and motor blockage
6. When the patient refuses
Minimum Eligible Age

19 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Seokha Yoo

Clinical Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Seokha Yoo, MD

Role: PRINCIPAL_INVESTIGATOR

Seoul National University Hospital

Locations

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Seoul National University Hospital

Seoul, , South Korea

Site Status

Countries

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South Korea

Other Identifiers

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2102-120-1220

Identifier Type: -

Identifier Source: org_study_id