Pain, Sciatic Block
Conditions
Keywords
Pain, Ropivacaine, sciatic block, dexamethasone
Brief summary
The purpose is to find out if the addition of dexamethasone to ropivacaine 0.5% increases the duration of pain relief provided by popliteal sciatic nerve block performed for foot/ankle surgery. The investigators also want to find out if there is a difference between 4 and 8 mg dose of dexamethasone.
Interventions
2 ml of saline added to 30 ml of ropivacaine 0.5% solution for nerve block
2 ml of dexamethasone 4 mg solution added to 30 ml of ropivacaine 0.5% solution for nerve block
2 ml of dexamethasone 8 mg solution added to 30 ml of ropivacaine 0.5% solution for nerve block
Sponsors
Study design
Eligibility
Inclusion criteria
* Ages 18-64 * ASA Physcial Status classification 1-3 * Foot and ankle surgery at Ben Taub General Hospital
Exclusion criteria
* diabetes mellitus * peripheral neuropathy * coagulopathy * allergy to study drugs * systemic glucocorticoid treatment (for 2 weeks or more) within 6 months of surgery * chronic opioid use at home * patient inability to properly describe pain to investigators * pregancy * prisoners * patient or surgeon refusal
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Duration of analgesia | 48 hours | Duration of analgesia of popliteal fossa sciatic nerve block defined as time of first pain as described by patient minus time of block placement in minutes |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Total pain medication | 24 hours | Total amounts of morphine, fentanyl and hydrocodone/acetaminophen that the patient required for pain control during first 24 hours after surgery. All patients, regardless of group, will receive a standardized postoperative pain medication regimen which will include hydrocodone/acetaminophen tablets primarily, and morphine/fentanyl as needed. |
| Pain scores | 24 hours | Pain score measured of numeric analog scale from 0-10 during first 24 hours measures and 0,1,2,4,8,12, and 24 hours after surgery. |
Countries
United States