Health Condition 1: O- Medical and Surgical Health Condition 2: S898- Other specified injuries of lowerleg
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients between age group of 18-85 years undergoing traumatic lower limb (below knee) orthopedic surgery under combined parasacral ischial plane (PIP) and femoral nerve block. ASA physical status I-II
Exclusion criteria
Exclusion criteria: 1.Patients with peripheral vascular disease 2. Allergy to local anaesthetic drugs 3. Patients with diabetes mellitus. 4. Wounds or injuries that preclude application of ultrasonic probe. 5. Pre-existing motor or sensory deficit in the operative limb 6. Patients with thrombocytopenia / coagulopathy, on anticoagulant and/or thrombolytic therapy. 7. Morbid obesity (BMI >35) 8. Infections at the intervention site
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To asses the diagnostic power of changes in objective measures such as hemodynamic variables and perfusion index to predict successful parasacral ischial plane blockTimepoint: Before block administration and at 10 minutes, 20 minutes,30 minutes and 40 minutes after block administration | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Changes in perfusion index and regional hemodynamic variables such as peak systolic velocity(PSV), end-diastolic velocity (EDV) , time-averaged maximum velocity (Tmax) and time-averaged mean velocity (Tmean) of popliteal artery following parasacral ischial plane nerve block. 2. Comparison of objective parameters with subjective parameters in terms of sensitivity, specificity, PPV and NPV.Timepoint: Before block administration and at 10 minutes, 20 minutes,30 minutes and 40 minutes after block administration | — |
Countries
India
Contacts
PGIMER