Postoperative Pain, Regional Anesthesia
Conditions
Keywords
Postoperative pain, Regional anesteshia, Nerve catheters, Sciatic nerve catheters
Brief summary
Displacement of popliteal sciatic nerve catheters after major foot and ankle surgery. A randomized controlled double blinded MRI study comparing long versus short axis catheter placement. Which procedure for insertion of nerve catheters for postoperative pain after major foot and ankle surgery is the best
Interventions
Sonosite EDGE ultrasound scanner guided insertion of a B Braun Contiplex S catheter along the short axis of the sciatic nerve behind the knee.
Sonosite EDGE ultrasound scanner guided insertion of a B Braun Contiplex S catheter along the long axis of the sciatic nerve behind the knee.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥ 18 y. * Major foot and ankle surgery postoperativ pain treatment with sciatic nerve catheter r * Written and informed concent
Exclusion criteria
* Patient uanble to cooperate * Patients not speaking and understanding Danish or English * Patiens in immunosuppresive treatment * Patienter with neuropathys in lower extremities * Allergies to the in the protocole listes medicines * A daily opoid intake * Pregnant women * Patients not meeting MR-criterias (metal, claustofobia...)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Frequency of nerve catheter displacement | 48 hours after catheter placement |
Secondary
| Measure | Time frame |
|---|---|
| Opioid comsumption | Within first 48 hours postoperatively |
| Number of rescue blocks | Within 48 hours postoperatively |
| Postoperativ pain after local anesthetic injection via sciatic nerve catheter | Within 48 hours postoperatively |
| MR evaluated distribution of local anesthetic after injection MR-contrast | 48 hours after catheter placement |
Countries
Denmark