Ankle Fractures
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients of both genders; who agree to participate in the study and sign the Free and Informed Consent Form ICF; aged eighteen years or older and younger than sixty five years; with a physical status classification of one to three according to the American Society of Anesthesiologists ASA; undergoing spinal anesthesia for ankle level surgeries
Exclusion criteria
Exclusion criteria: Refusal to participate in the research; difficulty in understanding the visual analog scale for pain; chronic use of analgesics and or contraindication to the use of nonsteroidal anti inflammatory drugs NSAIDs; body weight less than fifty kilograms to avoid toxic doses of local anesthetics; pregnant women; patients known to be allergic to local anesthetics and analgesics; those with an infection at the needle insertion site; coagulopathy; presence of neuropathy or neurological dysfunction in the lower extremities; and technical difficulties that do not allow for a block considered satisfactory by the technique described in this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| It is expected that patients undergoing peripheral nerve blocks with the addition of adjuvants (dexamethasone and epinephrine) will have significantly lower postoperative pain scores compared to the others. | — |
Secondary
| Measure | Time frame |
|---|---|
| It is expected that the incidence of nausea, vomiting, itching, and the need for rescue opioids will be significantly higher in the group receiving intrathecal morphine as the analgesic technique. | — |
Countries
Brazil
Contacts
Hospital Getúlio Vargas