Regional Anesthesia Morbidity
Conditions
Brief summary
Continuous peripheral nerve block catheters are used for prolonged analgesia, but are often associated with complications such as catheter failure or dislodgement. This is a single center, prospective study to compare peripheral nerve catheter securement techniques at the insertion site in healthy volunteers.
Detailed description
This study will involve the placement of subcutaneous peripheral nerve catheters in healthy volunteers utilizing 6 different securement techniques. The primary outcome is the force required to dislodge the peripheral nerve catheter by 1 centimeter as measured by a dynamometer in Newtons. The secondary endpoint will be the force required to disrupt the catheter dressing.
Interventions
Transparent film dressing (TegadermTM CHG Chlorhexidine Gluconate IV Securement Dressing, 3M Health Care, St. Paul, MN, USA) alone
Transparent film dressing + topical skin adhesive (SwiftSetTM Topical Skin Adhesive, CovidienTM Devon, UK) at insertion site
Transparent film dressing + topical skin adhesive + reinforced skin closure strips (Steri-StripTM, 3M Health Care, St. Paul, MN, USA) placed parallel to long axis of catheter
Transparent film dressing + topical skin adhesive + reinforced skin closure strips (Steri-StripTM, 3M Health Care, St. Paul, MN, USA) placed perpendicular to long axis of catheter
Transparent film dressing + topical skin adhesive + skin closure strips + topical benzoin (Compound Tincture of Benzoin USP 10%, Professional Disposables International, Inc., Orangeburg, NY, USA) spread in a 12 centimeter by 14 centimeter area around the insertion site
Transparent film dressing + topical skin adhesive + skin closure strips + medical adhesive spray (AdaptTM Medical Adhesive, Hollister Incorporated, Libertyville, IL, USA) in a 12 centimeter by 14 centimeter area around the insertion site
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18-85 years * American Society of Anesthesiologists Physical Status I-II * BMI 18-30 kg/m2
Exclusion criteria
* Inability to cooperate with or understand protocol * Inability to understand or speak English * Allergy to adhesive or tape * Local infection in lower extremities * Neurologic deficit or disorder * Anticoagulation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Force required to dislodge catheter by 1 centimeter | 1 study day | This force will be measured using a dynamometer in Newtons |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Force required to disrupt catheter dressing | 1 study day | This force will be measured using a dynamometer in Newtons |
Countries
United States