In our first study we were able to prove that dexamethasone prolongs total block (sensory and motor block) duration as well as time to pain when dexamaethasone is used as an additive to naropin in a popliteal block for hallux valgus repair surgery. In this study we want to prove that we can lower the concentration of local anesthetic in order to lower total dose with less motor block and comparable patient satisfaction. MedDRA version: 15.1 Level: LLT Classification code 10011123 Term: Co
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria are: * physical status ASA I-II (Table 1), age 16-70 years * patient scheduled for elective fore foot surgery (hallux valgus) * scheduled surgery time between 20 and 90 min 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 50 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Exclusion criteria are: • ASA III-IV-V • Chronic renal insufficiency (serum creatinine > 0.45 mg/dl); • Surgery duration of less than 20 minutes and longer than 90 minutes ; • Known coagulation disorders; • Known allergy to local anethetics; • Preoperative use of analgetics/opioids; • (Chronic) pain syndromes; • Psychiatric patients; • Peripheral neuropathy; • Diabetes Mellitus; • Gastric or duodenal ulcers; • Contraindications to loco-regional anesthesia (local or systemic sepsis, operator inexperience and patient or parent refusal) • Plasma haemoglobin concentration below 8 g/dl
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The primary outcome is time to first pain sensation and the achievement of an equal sensory but lesser motor block.;Secondary Objective: Secondary endpoints are onset time and total block recovery times.;Primary end point(s): The primary outcome is time to first pain sensation.;Timepoint(s) of evaluation of this end point: Time to block duration. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Secondary endpoints are onset times and total block recovery time. ;Timepoint(s) of evaluation of this end point: Time to first and complete block regression. | — |
Countries
Belgium
Contacts
zna middelheim