Amputation, Anesthesia, Local, Phantom Limb Pain
Conditions
Brief summary
The goal of this observational study is to determine the effect of femoral and sciatic nerve blocks, combined with general anesthesia, in postoperative pain levels and phantom limb pain development in patients undergoing lower limb amputation.
Interventions
Femoral and Sciatic Nerve Blocks
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients undergoing lower limb amputation 10cm cephalad or 10cm caudal of the knee, due to Peripheral Arterial Disease
Exclusion criteria
* Any form of dementia * Prior chronic neuropathic pain as assessed with DN4 questionnaire * Surgery under neuraxial anaesthesia * Inability to complete a Numeric Rating Scale to assess pain * Contraindication to ropivacaine
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Presence of phantom limb pain | Total screening time up to 9 months from day of surgery (DAY 0). Timeframe: DAY 3, DAY 7, DAY 30, DAY 60, DAY 90, DAY 120, DAY 150, DAY 180, DAY 210, DAY 240, DAY 270. | Presence of phantom limp pain and residual limp pain assessed using the Numerical Rating Scale for pain sensation (0-10, 0 being no pain, 10 being the worst imaginable pain) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative morphine consumption | Up to 3 days after surgery (DAY 0), i. e. until DAY 3 | All patients will be connected to an electronic pump for administration of morphine as an analgesic agent through a Patient Controlled Analgesia protocol, which enables the administration of morphine only when required by the patient. At the end of the time frame period the total morphine consumption was measured. |
| Postoperative pain | Up to 3 days after day of surgery (DAY 0). Assessed at: DAY 0 12 hours after end of surgery, DAY 1 , DAY 2, DAY 3 | Postoperative pain assessed using the Numerical Rating Scale for pain sensation (0-10, 0 being no pain, 10 being the worst imaginable pain) |
Countries
Greece