Patients diagnosed with chronic limb-threatening ischemia of lower extremities scheduled for elective percutaneous transluminal angioplasty. percutaneous transluminal angioplasty, chronic limb-threatening ischemia, Femoral-Popliteal Sciatic Nerve Block, General Anesthesia
Conditions
Interventions
Femoral nerve block and popliteal sciatic nerve block using 0.33% bupivacaine total 30 ml and sedation with propofol to maintain BIS level 60-80.,General anesthesia with endotracheal intubation, using
Experimental Procedure/Surgery,No Intervention Procedure/Surgery
Femoral-Popliteal nerve block with sedation,General anesthesia
Sponsors
Ramathibodi Hospital
Eligibility
Sex/Gender
All
Age
20 Years to 80 Years
Inclusion criteria
Inclusion criteria: Patients diagnosed with chronic limb-threatening ischemia of lower extremities scheduled for elective percutaneous transluminal angioplasty.
Exclusion criteria
Exclusion criteria: Decline or withdraw from study Hypersensitivity to local anesthetic agents Infection at skin local site Pre-existing hypotensive shock (MAP<65) Pre-existing vasopressor use Emergency case Preexisting neuropathy Coagulopathy with abnormal bleeding Age > 65 years old with Mini-cog (S.Borson) score <= 3, indicating cognitive impairment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of hypotensive events during entire intraoperative period frequency and severity of hypotension | — |
Secondary
| Measure | Time frame |
|---|---|
| perioperative pain scores 24 hours Verbal Numerical Rating Scale ,surgeon satisfaction score immediate postoperative period score 0-5,patient satisfaction score 24 hours score 0-5,leg or foot movement during entire intraoperative period frequency of movement,cumulative doses of vasopressor during entire intraoperative period milligram of drugs used | — |
Countries
Thailand
Contacts
Public ContactNapat Tovanakasame
Ramathibodi Hospital
Outcome results
None listed