Regional Anesthesia for Lower Extremity Surgery

NCT06777953 | Completed

• 1 other identifier: HEA-AAR-MK-03
• Study Type: observational
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

In this study, patients who underwent osteosynthesis with plate via standard anterolateral incision due to proximal tibia fracture in the orthopedic clinic within the last year; those who underwent perioperative anesthesia with spinal block, those who underwent postoperative analgesia with Ultrasound-guided popliteal sciatic nerve block, lumbar-sacral Erector Spine plane block combinations in the recovery unit will be identified and their files will be scanned retrospectively. Gender, surgical duration, postoperative block, pre-post block pain levels will be reviewed via Visual Analog Scale scoring, postoperative analgesics consumed and their amounts, Bromage scale, mobilization times, block-related complications, satisfaction levels will be determined and these two groups of patients who underwent block will be compared in terms of analgesia, complications, and satisfaction.

Conditions

Erector Spinae Plane Block; Lower Extremity Surgery; Sciatic Nerve Block

Keywords

sacral erector spinae plane block; lower extremity surgery; lumbar erector spinae plane block; sciatic nerve block

Outcome Measures

Primary Outcomes (1)

• Postoperative Analgesia

  Postoperative analgesia will be assessed by Visual Analog Scale Score and postoperative analgesic consumption. The visual analog scale is a numerical assessment ranging from 0 to 10. A score of 0 is considered as no pain, a score of 5 is considered as moderate pain, and a score of 10 is considered as unbearable pain. Rescue intravenous analgesic treatment is applied to scores of 4 and above.

  24 hours

Secondary Outcomes (1)

• Block related complication

  24 hours

Study Arms (2)

Erector Spinae Plane Block Group

Patients who underwent spinal anesthesia due to tibial fracture will be identified from their follow-up files. Among these patients, those who underwent erector spinae plane block with 20 ml of 0.5% bupivacaine and 5 ml of 1% lidocaine at the sacral level and 20 ml of 0.5% bupivacaine and 5 ml of 1% lidocaine at the L3 level while sitting under ultrasound guidance for postoperative analgesia will constitute this group.

Other: Erector Spinae (ESP) Block with Lidocaine/Bupivacaine

Sciatic Nerve Plane Block Group

Patients who underwent spinal anesthesia due to tibial fracture will be identified from their follow-up files. Among these patients, those who underwent popliteal sciatic nerve block with 30 ml of 0.5% bupivacaine while supine position under ultrasound guidance for postoperative analgesia will constitute this group.

Other: Popliteal Sciatic Nerve Block

Interventions

Erector Spinae (ESP) Block with Lidocaine/Bupivacaine OTHER

This study is to retrospectively compare the analgesic efficacy and impact on postoperative recovery of popliteal sciatic nerve blocks and Lumbar-Sacral Erector Spinae Plane blocks administered for postoperative pain management in tibial fractures.

Erector Spinae Plane Block Group

Popliteal Sciatic Nerve Block OTHER

This study is to retrospectively compare the analgesic efficacy and impact on postoperative recovery of popliteal sciatic nerve blocks and Lumbar-Sacral Erector Spinae Plane blocks administered for postoperative pain management in tibial fractures.

Sciatic Nerve Plane Block Group

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients with proximal tibial fractures who underwent surgery within the past year at the orthopedic clinic.

You may qualify if:

• Patients aged 18-65
• Patients undergoing spinal anesthesia
• Patients undergoing postoperative erector spinae plane block
• Patients undergoing postoperative sciatic nerve block

You may not qualify if:

• Pregnant patients
• Patients who cannot be contacted
• Patients who have undergone perioperative general anesthesia
• Patients with a history of cerebrovascular disease
• Patients with data loss
• Patients who did not receive consent

Sponsors & Collaborators

• Haseki Training and Research Hospital: lead

Study Sites (1)

Haseki Training and Research Hospital

Istanbul, 34265, Turkey (Türkiye)

Location

MeSH Terms

Interventions

Parapsychology; Dental Occlusion; Lidocaine; Bupivacaine

Intervention Hierarchy (Ancestors)

Behavioral Sciences; Behavioral Disciplines and Activities; Dentistry; Dental Physiological Phenomena; Digestive System and Oral Physiological Phenomena; Acetanilides; Anilides; Amides; Organic Chemicals; Aniline Compounds; Amines

Study Officials

• Munevver Kayhan, Medical Doctor

  Haseki Training and Research Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 4, 2025
• First Posted: January 16, 2025
• Study Start: November 1, 2024
• Primary Completion: December 15, 2024
• Study Completion: December 28, 2024
• Last Updated: January 16, 2025

Record last verified: 2025-01

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)