Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age more than 45years ASA II or III , Undergoing endovascular interventions in chronic lower limb threatening ischemia On dual antiplatelet therapy (aspirin + clopidogrel/ticagrelor)
Exclusion criteria
Exclusion criteria: Allergy to local anesthetics, dexmedetomidine, or any study medication. Local infection at the site of planned nerve block. Coagulopathy: INR > 1.5, platelet count < 75,000/mm³, or additional anticoagulation. Severe peripheral neuropathy or pre-existing motor/sensory deficits in the affected limb. Inability to communicate pain or consent Severe bradycardia (HR < 50 bpm), heart block, or unstable cardiovascular status
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Maximum intraoperative pain score | — |
Secondary
| Measure | Time frame |
|---|---|
| Time to first postoperative analgesic request | — |
Countries
Egypt
Contacts
residant doctor at Anaesthesia ICU and pain management Assiut university