Pain
Conditions
Keywords
PCA,Nerve block,Hullax Valgus
Brief summary
The purpose of this study is to investigate the efficacy and cost analysis of intravenous fentanyl combined with either local anesthesia infiltration or peroneal nerves block in patients with Hallux Valgus undergoing orthopedic corrective surgery and compared with patients without local anesthetics administration perioperatively.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
1. patients with American Society of Anesthesiologists physical status I-III 2. aged 20-65 years 3. Requiring local anesthesia and PCA use 4. No severe cardiac or pulmonary diseases 5. BMI \<35 kg/m2
Exclusion criteria
1. BMI ≧35 kg/m2 2. age \> 65years 3. allergy to opioid or local anesthetics
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| provides adequate pain relief and decreases fentanyl consumption | including of surgery and 36 hours after surgery | Patients are subgrouping into groups of post-OP IV fentanyl PCA only, pretreatment of local bupivacaine infiltration and post-OP IV fentanyl PCA, and pretreatment of peroneal nerves block and post-OP IV fentanyl PCA. Resting pain and moving pain scores are measured by the numeric rating scale and classified into none, mild, moderate and severe pain four grades. Pains scale and side effects are recorded at time intervals of post-OP 0 hours, 6 hours, 12 hours, 24 hours, and 36 hours after surgery. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| incidence of side effects and complications | intraoperatively and 36 hours after surgery | side effects include of intraoperative hypo-tension,dizziness, nausea, and vomiting. |
Other
| Measure | Time frame |
|---|---|
| assessment of cost analysis among groups | surgery period and 36 hours after surgery |
Countries
Taiwan