Diabetic Patient
Conditions
Brief summary
Popliteal Sciatic nerve block is a regional technique that provides safe and reliable perioperative anesthesia and analgesia of lower leg and foot used in diabetic patients. Different additives have been used with local anaesthetics to achieve dense and prolonged block. Magnesium sulfate possesses analgesic properties owing to its effect on NMDA receptors.
Interventions
DRUGbupivacaine
group B received 28ml of 0.25% bupivacaine and 2ml normal saline
DRUGmagnesium sulfate
group BM received 28 ml of 0.25% bupivacaine and 2 ml magnesium sulfate 10%.
Sponsors
Alexandria University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
40 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* (ASA) II or III * scheduled for diabetic foot surgeries.
Exclusion criteria
* Patients who refused the anaesthetic technique, * whose BMI ≥ 35 kg/ m2, * unable to properly describe postoperative pain to investigator (dementia, delirium, psychiatric and neurological disorders), * patients with coagulopathy, skin infection at the site of injection, * preoperative use of opioid or non-steroidal anti-inflammatory drugs, * allergy or contraindication to studied medication
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| duration of postoperative analgesia | 24 hours | evaluate the effects of adding magnesium sulfate to bupivacaine versus bupivacaine alone in popliteal sciatic nerve block with ultrasound guidance for diabetic foot surgeries as regards the duration of postoperative analgesia |
Countries
Egypt
Outcome results
None listed