management of acute tourniquet pain during below-knee surgery.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ASA class1 and 2 unilateral surgery
Exclusion criteria
Exclusion criteria: Allergy to local anesthetics Age> 80 yrs Coagulation disorders Opium addiction Infection at the block site Previous femoral or popliteal bypass surgery BMI =30 Sickle cell anemia Tourniquet inflation time less than 60 minutes Uncooperative patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The severity of tourniquet pain during surgery. Timepoint: Immediately after tourniquet inflation, and then every 5 min until the end of surgery. Method of measurement: Using a 5-point verbal rating scale (VRS) consisting of; 0 =no pain, 1= mild pain, 2=moderate pain, 3= severe pain, 4=unbearable pain. | — |
Secondary
| Measure | Time frame |
|---|---|
| Block performance time. Timepoint: The time taken from the beginning to the end of the local anesthetic injection. Method of measurement: The interval between the beginning to the end of local anesthetic injection in minutes.;Anesthetic effect time. Timepoint: Time required from the end of local anesthetic injection to achieve adequate anesthesia. Method of measurement: The interval between the end of local anesthetic injection and block success required for surgical anesthesia in minutes.;The total doses of fentanyl and ketamine administered. Timepoint: During surgery. Method of measurement: Intravenous boluses of fentanyl (µg) or ketamine (mg) given during surgery are recorded and the total dose given for each drug is calculated. | — |
Countries
Iran (Islamic Republic of)
Contacts
Shahid Beheshti University of Medical Sciences