Stump and phantom limb pain after lower limb amputation MedDRA version: 9.1 Level: LLT Classification code 10056238 Term: Phantom pain MedDRA version: 9.1 Level: LLT Classification code 10054711 Term: Postoperative pain
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients admitted to our vascular unit requiring a below or above knee amputation irrespective of aetiology. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: 1. Patients not considered for surgical intervention. 2. Patients who are deemed unfit to undergo surgery under general anaesthesia. 3. Patients unable to operate a Patient-controlled analgesia device or cooperate with evaluation of pain scores e.g. those with confusional states. 4. Patients unwilling to consent 5. Allergy to any study medication
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To establish the effects of continuous peri- and post-operative sciatic/posterior tibial nerve blockade using a levobupivacaine infusion via a neural sheath catheter on late stump pain, phantom limb sensations and phantom limb pain.;Secondary Objective: To assess the effect of this technique on early postoperative pain and morphine requirements. To ascertain the late effects on mood, physical disability and quality of life ;Primary end point(s): 1. Stump pain scores, phantom pain scores and non-painful phantom sensation at 12 months after surgery 2. The presence or absence of allodynia at the stump site at 12 months after surgery | — |
Countries
United Kingdom