Status:
COMPLETED
Prolonged Popliteal Fossa Nerve Blockade (Prolonged Pop)
Lead Sponsor:
Hospital for Special Surgery, New York
Conditions:
Postoperative Pain
Eligibility:
All Genders
18-75 years
Phase:
PHASE1
Brief Summary
This study looks at addition of medications to the local anesthetic for the nerve blockade.
Detailed Description
Following major foot and ankle surgery patients complain of severe pain. Currently, Hospital for Special Surgery (HSS) usually uses nerve blocks (injections of local anesthetic near nerves supplying t...
Eligibility Criteria
Inclusion
- Patients of Dr. Levine or Dr. Roberts at Hospital for Special Surgery
- Patients aged 18-75
- Patients scheduled for discharge from HSS after foot or ankle surgery
- A single-injection popliteal fossa nerve block is judged appropriate
- Surgery confined to foot and ankle (no iliac crest bone graft planned - iliac aspirate is not an exclusion criterion)
Exclusion
- \< 18 and \> 75
- Surgery that will cause pain at sites outside the distal lower extremity (e.g. iliac crest bone graft)
- Bilateral surgery
- Chronic pain (defined as regular use of opioid analgesics for \> 3 months)
- Chronic use of steroids (defined as regular use of steroids for \> 3 months)
- Contraindication to performance of the popliteal fossa nerve block with 30 cc 0.25% bupivacaine (e.g. alleged bupivacaine sensitivity, low body weight, etc.)
- Contraindications to dexamethasone or buprenorphine (e.g. allergy, insulin dependent diabetes mellitus, etc.)
- Patients who have been diagnosed with altered pain perception or have lack of sensation
- Inability of the patient to describe postoperative pain (e.g. psychiatric disorder, dementia)
- Non-English speaking patients (the questionnaire is in English, and translations would have to be separately validated)
Key Trial Info
Start Date :
October 1 2012
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
February 1 2014
Estimated Enrollment :
90 Patients enrolled
Trial Details
Trial ID
NCT02198235
Start Date
October 1 2012
End Date
February 1 2014
Last Update
June 15 2017
Active Locations (1)
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1
Hospital For Special Surgery
New York, New York, United States, 10021