Complex Regional Pain Syndrome
Conditions
Keywords
complex regional pain syndrome, lumbar sympathetic blockade, photoplethysmography, diagnostic lumbar sympathetic blockade
Brief summary
This study aims to compare the alternative current and the direct current signal changes of photoplethysmography between both feet during one side lumbar sympathetic block. The hypothesis is that signal changes occur earlier than other indices to decide whether it is successful following lumbar sympathetic block on only one-side.
Interventions
unilateral lumbar sympathetic block at L3 level using 0.2% chirocaine under C-arm fluoroscopy
Sponsors
Study design
Eligibility
Inclusion criteria
* Physically examined for complex regional pain syndrome on lower extremity, * Scheduled for diagnostic lumbar sympathetic blockade.
Exclusion criteria
* Graded as ASA 3 or higher, * Below 18 or above 70 years of age, or * Had any other contraindication for regional anesthesia.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Index of sympathetic block | 1 minute at intervals from baseline through end of procedure | change of slope of signals of the alternative current and the direct current from foot The baseline is defined as the point of surgical drap. The end of procedure is decided when the temperature of foot is increased more than 2 degrees from baseline within 20 minutes after local anesthetics injection |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| skin temperature changes | 1 minute at intervals during procedure | foot temperature change from baseline |
| electrocardiogram | 1 minute at intervals from baseline through end of procedure | heart rate variability measurement |
Countries
South Korea