G57
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: In the study patients will be included , who undergo electively an intervention of the lower limb-surgery (eg, knee joint and ankle arthroscopy, metal distances, foot surgery), where standard general anesthesia or peripheral nerve block would be carried out by nerve stimulator or ultrasound. The study included only patients able to consent to participate. After consent to the study, the patients will be enrolled, which get as anesthetic procedures a combination anesthesia or regional anesthesia with mono-block of the sciatic nerve.
Exclusion criteria
Exclusion criteria: No consent, lack of capacity to consent. Pre-existing nerve damage, polyneuropathy, infection in the area of any planned nerve blockade, muscle and nerve disease, allergy to local anesthetics, heart failure> NYHA II, severe lung disease, known strong postoperative nausea and vomiting, known or suspected difficult airway management.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1) Sonografic distance between needle tip and nerve at a stimulation current of 0.5mA while nerve blockade preoperatively 2) Sonographic measurement of nerve cross-section before and after injection of the local anesthetic at the plant nerve block preoperatively 3) Acquisition MRI-morphological changes (nervous edema, inflammation, density) MRI pre- ( 12 hours ago) and postoperatively (12 hours later) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Patient Satisfaction - Postoperative care unit, 1-6 grade 2) Post-operative pain - Postoperative care unit, Nummeric rating scale (1-10) 3) PONV - Apple Score, Postoperative care unit 4) hemodynamic stability - anesthesia protocol 5) process times - anesthesia protocol | — |
Countries
Germany
Contacts
UMG Göttingen