tourniquet hypertension in patients undergoing lower limbs surgery tourniquet hypertension, peri-arterial injection, perifemoral artery, tourniquet intolerance, femoral nerve block, sciatic nerve block
Conditions
Interventions
Drug: 0.25% bupivacaine 15 mL.
An ultrasound guided injection of bupivacaine superomedially to the femoral artery.,standard of perioperative care, subcutaneous injection
femoral periarterial block group,subcutaneous infiltration group
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: 1. patients undergoing lower limbs surgery 2. American Society of Anesthesia I-II 3. patients weighted more than 60 kilograms
Exclusion criteria
Exclusion criteria: 1. patient refusal 2. diagnosis of chronic opioid use 3. intolerance or allergy to local anesthetic drugs 4. weight less than 60 kilograms 5. American Society of Anesthesia more than 2 6. pregnancy 7. patients with an inability to communicate pain scores 8. patients with contraindication of applying tourniquets 9. patients with high risks of local anesthetic toxicity 10. patients with uncontrolled hypertension
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| tourniquet hypertension intraoperative Measuring systolic blood pressure using a cuff, aim to keep within 30% change from baseline | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain Scores at thigh preoperative period, postoperative at 0,4,8,12,24h The Numeric Rating Scale (0-10),Amount of Opioid Medications (fentanyl) Used by Patient intraoperative period Amount of opioid pain medication used by patient,Amount of nicardipine used intraoperatively intraoperative period Amount of nicardipine (in mg) used intraoperatively to decrease blood pressure after subject achieved tourniquet hypertension.,postoperative nausea and vomiting Postoperative 0,24 h The numeric rating scale,incidence of nerve injury postoperative day 0-48h incidence of nerve injury,thigh circumference preoperative and postoperative at PACU, 12 h and 24 h centimeter,postoperative dizziness postoperative 0-48h numeric rating scale,Pain Scores at surgical site preoperative period, postoperative at 0,4,8,12,24h The Numeric Rating Scale (0-10) | — |
Countries
Thailand
Contacts
Public ContactChonruethai Tangkittithaworn
King Chulalongkorn Memorial Hospital
Outcome results
None listed