Surgery Orthopaedics Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patient aged between 20 and 75 yaers years both genders who schedule for foot and ankle surgeries and ASA I to III
Exclusion criteria
Exclusion criteria: Patient younger than 20 years or older than 75 years and patient who allergy to local anaethetics or to midazolam and who had past history of sciatic or saphenous nerve inury and who have neurological or rheumatological or psychiatric diseases.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| by compare onset of succesful block before operation by complete loss of sensation to pinprick in below knee area chosen as the successful end point between two groups. and duration of block in intraoperative and postoperative period by visual analogue scale and rescue analgesia between two groups .VAS Scale (1-10) Zero was considered as no pain, 1-3 as mild pain, 4-6 as moderate pain and 7-10 as severe pain. At score of 4 rescue analgesic.Duration of sensory block was defined as the time interval between the success of the block and the complete resolution of sensory block or first analgesia rescue and the time was recorded. | — |
Secondary
| Measure | Time frame |
|---|---|
| assess motor function by Bromage motor blockade score in which Free movement of legs and feet means no motor block and Just able to flex knees with free movement of feet means Partial (33%) block and Unable to flex knees, but with free movement of feet means almost complete (66%)and Unable to move legs or feet means Complete (100%) block between two groups. | — |
Countries
Egypt
Contacts
neurological specialist