Health Condition 1: null- Patients suffering from pain due to peripheral arterial disease which causes decreased blood supply to lower limbs
Conditions
Interventions
Intervention1: ultrasouund guided out of plane lumbar sympathetic block and its confirmation by fluoroscopy: -After establishing IV access and attaching American Society ofAnaesthesiologists standard
Sponsors
AIIMS
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age-18-80yrs 2.Rest pain 3.Leg ulcer/foot ulcer not responding to oral medication 4.Digital gangrene 5.Ankle brachial Pressure index 0.3-0.9 6.Patients suffering from diatal vessl diseaese 7.Patients willing to give consent
Exclusion criteria
Exclusion criteria: 1. Patient not willing to give consent 2. Coagulopathy 3.Allergic to local anaesthetics 4.Diabetes mellitus 5.BMI > 35kg/m2
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Successful Needle position - Position to radiologically defined end point Unsuccessful- Distance from radiologically defined end point Timepoint: After the ultrasound insertion of the needle, then the position is seen by fluoroscopy in the anterior and lateral view after injecting the iohexal dye. Succesful endpoint is the presence of dye in the lateral aspect of the L2 or L3 vertebrae | — |
Secondary
| Measure | Time frame |
|---|---|
| -After giving the block, the patient will be followed weekly for 6 weeks. -After block Numerical Rating Scale, and Ulcer diameter will be assessed weekly for 6wks Timepoint: The patient is asked to make three levels pain ratings, corresponding to current, best and worst pain experienced over the past 24 hours. The average of the 3 ratings was used to represent the patientâ??s level of pain over the previous 24 hours | — |
Countries
India
Contacts
Public ContactJyotsna punj
All India institute of medical sciences
Outcome results
None listed