Continuous Sciatic Block Nerve in the Management of Vascular Pain in Critical Ischemia of Lower Limbs Patients
Evaluation of Ultrasound Guided Continuous Sciatic Block Nerve With a Longitudinal Approach in the Management of Vascular Pain in Critical Ischemia of Lower Limbs Patients : Prospective Descriptive Study of Exploratory Cohort
Critical limb ischemia (CLI) is associated with severe pain that is a therapeutic challenge whit therapeutic limits for the use of conventional analgesics medications. ultrasound-guided continuous sciatic block (CCBN) is strategy effective and safe to consider in this patients.
This prospective descriptive exploratory cohort study evaluates CCBN as a effective therapeutic tools for patients whit (CLI)
調査の概要
詳細な説明
Critical limb ischemia is the final stage of peripheral vascular disease identified by resting pain greater than 2 weeks with ulcers or gangrene in 1 or both extremities. Pain relief is a therapeutic challenge due to its severity, which significantly affects the quality of life, and the comorbidities that occur frequently in these patients, which limits the use of analgesics medications. Regional techniques can play an important role as they are safe and effective in analgesic management . Within these we find the ultrasound guided continuous sciatic block as a strategy to consider in the periods of exacerbation of pain, as a bridge to a palliative or resolutive management.
Prospective descriptive exploratory cohort study.
Patients with a diagnosis of critical ischemia of the lower limb with severe pain and side effects of opioids will be included. A continuous ultrasound-guided sciatic nerve block with longitudinal approach will be performed, with no anti-aggregation or anticoagulation suspension, continuing with an infusion of Bupivacaine 0.1%
The primary outcome will be numerical pain rating scale (NPrs) and secondary outcome Pinprick test, catheter duration, opioid consumption reduction and side effects to it.
研究の種類
入学 (実際)
連絡先と場所
研究場所
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Antioquia
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Medellin、Antioquia、コロンビア、0057
- Hospital Universitario San Vicente Fundación
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Antiquia
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Medellín、Antiquia、コロンビア、050010
- Adriana Cadavid, MD
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
サンプリング方法
調査対象母集団
説明
Inclusion Criteria:
- Patients with a diagnosis of critical ischemia of the lower limb with severe pain and side effects of opioids
Exclusion Criteria:
- Under 18 years old
研究計画
研究はどのように設計されていますか？
デザインの詳細
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Pain level measurement with Numeric Rate Score (NRS)
時間枠：5 days
|
0-10 where 0 means no pain and 10 means maximum possible pain
|
5 days
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Pinprick test
時間枠：5 days
|
evaluation of superficial sensitivity in S1 dermatome positive or negative
|
5 days
|
|
catheter duration
時間枠：5 days
|
number of days in which the catheter is functional
|
5 days
|
|
opioid consumption reduction
時間枠：5 days
|
opioid consumption in morphine equivalence
|
5 days
|
|
Delirium
時間枠：5 days
|
minimental test score from 0 to 30 points.
Delirium positive for less than 24
|
5 days
|
|
Nauseas and Vomit
時間枠：5 days
|
yes or not present
|
5 days
|
協力者と研究者
スポンサー
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
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最終確認日
詳しくは
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