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A Comparison of Ultrasound and Nerve Stimulator Techniques for Nerve Localization in Regional Anesthesia

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ClinicalTrials.gov Identifier: NCT01221415
Recruitment Status : Completed
First Posted : October 15, 2010
Last Update Posted : October 27, 2011
Sponsor:
Information provided by (Responsible Party):
Leslie Thomas, Ochsner Health System

Brief Summary:
The primary objective of this study is to compare ultrasound versus nerve stimulator techniques for nerve localization when performing peripheral nerve blocks. Specifically the investigators will be performing Popliteal, Femoral, and Interscalene nerve blocks. The investigators will be looking for differences in 1) time taken to locate the target nerve and inject local anesthetic 2) time from injection of local anesthetic to adequate surgical anesthesia 3) effectiveness of block 4) incidence of vascular puncture 5) incidence of adverse events 6) patient satisfaction.

Condition or disease
Orthopedic

Detailed Description:
After obtaining informed consent, subjects will be randomized to either the ultrasound or nerve stimulator groups as the method for nerve localization prior to peripheral block placement.

Study Type : Observational
Estimated Enrollment : 220 participants
Time Perspective: Prospective
Official Title: A Comparison of Ultrasound and Nerve Stimulator Techniques for Nerve Localization in Regional Anesthesia
Study Start Date : January 2008
Primary Completion Date : October 2011
Study Completion Date : October 2011

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Group/Cohort
Interscalene Ultrasound
Subjects having orthopedic surgery requiring an interscalene peripheral nerve block and randomized to have the ultrasound used to locate the nerve.
Interscalene Nerve Stimulator
Subjects having orthopedic surgery requiring an interscalene peripheral nerve block and randomized to have the nerve stimulator used to locate the nerve.
Popliteal Ultrasound
Subjects having orthopedic surgery requiring an popliteal peripheral nerve block and randomized to have the ultrasound used to locate the nerve.
Popliteal Nerve Stimulator
Subjects having orthopedic surgery requiring an popliteal peripheral nerve block and randomized to have the nerve stimulator used to locate the nerve.
Femoral Ultrasound
Subjects having orthopedic surgery requiring an femoral peripheral nerve block and randomized to have the ultrasound used to locate the nerve.
Femoral Nerve Stimulator
Subjects having orthopedic surgery requiring an femoral peripheral nerve block and randomized to have the nerve stimulator used to locate the nerve.



Primary Outcome Measures :
  1. time from injection of local anesthetic to adequate surgical anesthesia [ Time Frame: within the first 45 minutes after injection of local anesthestic ]

Secondary Outcome Measures :
  1. effectiveness of block [ Time Frame: within 1 hour of injection ]
  2. time taken to locate the target nerve and inject local anesthetic [ Time Frame: within 45 minutes prior to injection ]
  3. incidence of vascular puncture [ Time Frame: within 30 minutes of injection ]
  4. incidence of adverse events [ Time Frame: within 2 weeks of the day of surgery ]
  5. patient satisfaction [ Time Frame: within 2 weeks of the date of surgery ]


Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Probability Sample
Study Population
Patients 18 years of age or older undergoing outpatient knee arthroscopy or lower leg/foot surgery as well as shoulder arthroscopy.
Criteria

Inclusion Criteria:

  • American Society of Anesthesiologists (ASA) Physical status I-III
  • Arthroscopic knee surgery or Lower leg/foot surgery as well as shoulder arthroscopy
  • Outpatient status
  • Patient preference for a regional anesthetic
  • Subjects should be capable of giving informed consent

Exclusion Criteria:

  • Allergy to:

    • Local anesthetics
    • Hydromorphone
    • Propofol
    • Midazolam
  • Patient refusal
  • Infection at the injection site
  • Peripheral Neuropathy

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01221415


Locations
United States, Louisiana
Ochsner Clinic Foundation
New Orleans, Louisiana, United States, 70121
Sponsors and Collaborators
Ochsner Health System
Investigators
Principal Investigator: Leslie Thomas, MD Ochsner Health System