Orthopedic
Conditions
Brief summary
The primary objective of this study is to compare ultrasound versus nerve stimulator techniques for nerve localization when performing peripheral nerve blocks. Specifically the investigators will be performing Popliteal, Femoral, and Interscalene nerve blocks. The investigators will be looking for differences in 1) time taken to locate the target nerve and inject local anesthetic 2) time from injection of local anesthetic to adequate surgical anesthesia 3) effectiveness of block 4) incidence of vascular puncture 5) incidence of adverse events 6) patient satisfaction.
Detailed description
After obtaining informed consent, subjects will be randomized to either the ultrasound or nerve stimulator groups as the method for nerve localization prior to peripheral block placement.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* American Society of Anesthesiologists (ASA) Physical status I-III * Arthroscopic knee surgery or Lower leg/foot surgery as well as shoulder arthroscopy * Outpatient status * Patient preference for a regional anesthetic * Subjects should be capable of giving informed consent
Exclusion criteria
* Allergy to: * Local anesthetics * Hydromorphone * Propofol * Midazolam * Patient refusal * Infection at the injection site * Peripheral Neuropathy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| time from injection of local anesthetic to adequate surgical anesthesia | within the first 45 minutes after injection of local anesthestic |
Secondary
| Measure | Time frame |
|---|---|
| effectiveness of block | within 1 hour of injection |
| time taken to locate the target nerve and inject local anesthetic | within 45 minutes prior to injection |
| incidence of vascular puncture | within 30 minutes of injection |
| incidence of adverse events | within 2 weeks of the day of surgery |
| patient satisfaction | within 2 weeks of the date of surgery |
Countries
United States