Sciatic Nerve Blockade by Subgluteal Access 12.5 ml of 1% Lidocaine: US Guidance Versus US Guidance With Electrical Stimulation of Peripheral Nerves (Influence of the Sciatic Nerve Blockade on the Effectiveness of Small Doses of Local Anesthetic.). (EPBwEPN)

Mogilev Regional Clinical Hospital

Status

Completed

Conditions

Nerve Block

Ultrasonography

Minimum Effective Dose

Sciatic Nerve

Efficiency

Treatments

Procedure: sciatic nerve blockade under ultrasound control without a peripheral nerve stimulator 12.5 ml 1% lidocaine

Procedure: Sciatic nerve block under ultrasound control with a electrostimulator peripheral nerves 12.5 ml 1% lidocaine

Study type

Interventional

Funder types

Other

Identifiers

NCT05205473

12.5ml sciatic nerve

Details and patient eligibility

About

In modern anesthesiology, peripheral nerve blocks are performed using ultrasound control and electrical stimulation of peripheral nerves (PEN), or only ultrasound control or only EPN. The most effective methods are with the use of ultrasound control. Until now, the effectiveness of the sciatic nerve blockade by the subgluteal approach, performed only under ultrasound control without EPN, in comparison with the blockade of the sciatic nerve performed under ultrasound control with EPN, has not been established.

There is no data on how the effectiveness of the blockade of the sciatic nerve with small doses of lidocaine is influenced by the method of performing the blockade: under ultrasound control versus ultrasound control with electrostimulation of the nerve.

Research hypothesis: the blockade of the sciatic nerve by the subgluteal approach (12.5 ml 1%lidocaine -Minimum Effective Dose - previously established ) performed only under ultrasound control has the same effectiveness as the blockade performed under the ultrasound control with EPN.

Enrollment

40 patients

Sex

All

Ages

18 to 90 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

indication requiring anesthesia maintenance;
patient's written consent about the type of anesthesia and possible complications of regional anesthesia

Exclusion criteria

patient's refusal of application for the proposed form of anesthesia;
patients younger than 18 years;
patients weighing less than 50 kg;
a physical status score of more than 3 determined by the American Society of Anesthesiologists (ASA);
a history of allergic reactions to the drugs used;
coagulopathies;
infections of the skin at the injection site;
neurological or neuromuscular diseases;
severe liver diseases or kidney failures;
an inability to cooperate with the patient.