Sciatic Perineural Versus Stump Catheter for Below Knee Amputation
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Purpose
The goal of this study is to determine if pre-operative placement of the continuous peripheral nerve block by an anesthesiologist using ultrasound technology is more effective than a continuous peripheral nerve block placed during the surgery by a surgeon for patients undergoing a limb amputation
| Condition | Intervention | Phase |
|---|---|---|
|
Ischemia Phantom Limb Pain Vascular Disease Chronic Pain |
Procedure: Sciatic catheter Procedure: Stump catheter |
Phase 0 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Ultrasound Guided Sciatic Perineural Catheter vs Surgically Placed Sciatic Stump Catheter for Below Knee Amputations: Is There A Difference in Patient Outcomes |
- Opioid consumption [ Time Frame: Post-op day 0-7 ] [ Designated as safety issue: No ]MAR records will be used to calculate opioid consumption
- pain score [ Time Frame: Post-op day 0-7 and at 3months ] [ Designated as safety issue: No ]VAS will be used (0-10)
| Estimated Enrollment: | 40 |
| Study Start Date: | July 2012 |
| Estimated Study Completion Date: | August 2013 |
| Estimated Primary Completion Date: | June 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: sciatic catheter |
Procedure: Sciatic catheter
presurgical sciatic catheter insertion
Other Name: anesthesiologist placed catheter
|
| Active Comparator: Stump catheter |
Procedure: Stump catheter
intraoperative placed stump catheter
Other Name: surgeon placed catheter
|
Detailed Description:
We wish to determine the most effective site for the continuous infusion of local anesthetic for patients undergoing amputation of a limb. The information we obtain from this study will help to decide the most effective manner to provide pain relief for patients in the future. The primary outcome of interest is post-operative pain relief as measured by the amount of pain-relieving medications (opioids) required by patients prior to discharge home. The secondary outcomes of interest will be pain-relieving medications (opioid) requirements during the operation, length of stay in the hospital, time required for mobility, and patient satisfaction- measured by a survey given while in hospital and 3 months later.
Eligibility| Ages Eligible for Study: | 16 Years to 90 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- undergoing a below knee amputation
- 16 years of age or older
- regional anesthetic will be used as part of the surgery
Exclusion Criteria:
- pregnant
- allergic to local anesthetic or ultrasound jelly
- a contraindication to having a peripheral nerve block catheter
Contacts and Locations| Contact: Andrew N Sawka, MD | 604-875-4304 | andrew.sawka@vch.ca |
| Canada, British Columbia | |
| Jason Wilson | Not yet recruiting |
| Vancouver, British Columbia, Canada, V5Z 1L8 | |
| Contact: Andrew N Sawka, MD 604-875-4304 andrew.sawka@vch.ca | |
| Principal Investigator: | Andrew N Sawka, MD, FRCPC | University of British Columbia |
More Information
No publications provided
| Responsible Party: | University of British Columbia |
| ClinicalTrials.gov Identifier: | NCT01608035 History of Changes |
| Other Study ID Numbers: | H12-00693 |
| Study First Received: | May 11, 2012 |
| Last Updated: | May 29, 2012 |
| Health Authority: | Canada: Health Canada |
Keywords provided by University of British Columbia:
|
sciatic catheter stump catheter below knee amputation |
Additional relevant MeSH terms:
|
Ischemia Phantom Limb Vascular Diseases Pathologic Processes Perceptual Disorders |
Neurobehavioral Manifestations Neurologic Manifestations Nervous System Diseases Signs and Symptoms Cardiovascular Diseases |
ClinicalTrials.gov processed this record on June 18, 2013