Dexamethasone vs. Dexmedetomidine for Popliteal Nerve Block in Pain Management After Pediatric Ankle and Foot Surgery
1 other identifier
interventional
90
1 country
2
Brief Summary
Effect of perineurial dexamethasone and dexmedetomidine on popliteal nerve block duration for pediatric, ankle or foot surgery
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_4
Started Feb 2024
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 22, 2024
CompletedFirst Posted
Study publicly available on registry
January 31, 2024
CompletedStudy Start
First participant enrolled
February 9, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 8, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
July 8, 2025
CompletedJuly 11, 2025
April 1, 2024
1.4 years
January 22, 2024
July 8, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
first need of opiate
Time after surgery when the patient needs opiate for the first time
48 hours
Secondary Outcomes (9)
Opioid consumption
48 hours
Numerical Rating Scale [range 0:10]
[Time Frame: 4 hours after surgery]
Numerical Rating Scale [range 0:10]
[Time Frame: 6 hours after surgery]
Numerical Rating Scale [range 0:10]
[Time Frame: 8 hours after surgery]
Numerical Rating Scale [range 0:10]
[Time Frame: 12 hours after surgery]
- +4 more secondary outcomes
Study Arms (3)
Placebo
PLACEBO COMPARATOR0.2% ropivacaine for popliteal nerve block
Dexamethasone
ACTIVE COMPARATOR0.2% ropivacaine + 0.1mg/kg Dexamethasone for popliteal nerve block
Dexmedetomidine
ACTIVE COMPARATOR0.2% ropivacaine + 0.1ug/kg Dexmedetomidine for popliteal nerve block
Interventions
administration of 0.5ml/kg of 0,2% ropivacaine + 0.01ml/kg 0.9% sodium chloride for the popliteal nerve block
administration of 0.5ml/kg of 0.2% ropivacaine with 0.1mg/kg Dexamethasone for the popliteal nerve block
administration of 0.5ml/kg of 0.2% ropivacaine with 0.1ug/kg Dexmedetomidine for the popliteal nerve block
Eligibility Criteria
You may qualify if:
- all children scheduled for ankle or foot surgery
- aged \> 3 months \< 7 years
You may not qualify if:
- age \< 3 months
- age \> 7 years
- infection at the site of the regional blockade
- coagulation disorders
- immunodeficiency
- ASA= or \>4
- steroid medication in regular use
- chronic pain
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Poznan University of Medical Sciences
Poznan, Poznań, 61-701, Poland
Department of Spine Diseases and Pediatric Orthopedics, University of Medical Sciences, Poznań, Poland
Poznan, Wielkopolska, 61-545, Poland
Related Publications (1)
Reysner T, Pietraszek P, Shadi M, Musielak B, Kowalski G, Daroszewski P, Reysner M. Effect of perineural dexamethasone versus dexmedetomidine as adjuvants to ropivacaine on analgesic duration in pediatric popliteal sciatic nerve blocks: a randomized, triple-blinded, placebo-controlled trial. Reg Anesth Pain Med. 2025 Oct 2:rapm-2025-107096. doi: 10.1136/rapm-2025-107096. Online ahead of print.
PMID: 41043950DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Tomasz Kotwicki, MD PhD
Poznan University of Medical Sciences
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 22, 2024
First Posted
January 31, 2024
Study Start
February 9, 2024
Primary Completion
July 8, 2025
Study Completion
July 8, 2025
Last Updated
July 11, 2025
Record last verified: 2024-04
Data Sharing
- IPD Sharing
- Will not share