Chronic pain Phantom limb pain
Conditions
Interventions
Sciatic nerve block with continuous application of local anesthetic during
surgery, and during the first week after surgery.
Sponsors
Academisch Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Patients undergoing elective transtibial amputation for peripheral vascular disease, age over 18 years, ASA* status II to IV. * ASA American Society of Anesthesiology classification.
Exclusion criteria
Exclusion criteria: - contraindication to peripheral regional anesthesia - confirmed allergy to local anesthetics - prior amputation resulting in current phantom limb pain - severe psychiatric disease - pregnancy or breastfeeding status - amputation for tumour surgery - traumatic amputation and - inability to give written and informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Point prevalence of chronic phantom limb pain after 12 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| - Subjective classification of chronic phantom limb pain by patient in the preceding 4 weeks - SF-12v2 Short form 12 quality of life assessment - McGill short Pain Questionnaire - Vascular preoperative status - SIGAM mobility scale - Inventarization of rehabilitation methods applied during follow-up - Inventarization of drugs used to treat phantom limb pain - Incidence of reamputation and surgical complications (bleeding, infection of surgical site) | — |
Countries
Netherlands
Outcome results
None listed