Sciatic Nerve Block Using the Subgluteal Space Approach: A Comparison With the Infragluteal Approach
NCT01814605 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 27
Last updated 2013-03-20
Summary
A new ultrasound-guided "subgluteal space" approach to sciatic nerve block that has been recently described obviates the need to identify the sciatic nerve. The investigators hypothesize that the use of an ultrasound-guided subgluteal space injection to perform sciatic nerve block will increase the proportion of patients experiencing complete sensory block in both terminal branches of the Sciatic nerve in comparison to the same proportion in those who receive the block via ultrasound-guided infragluteal approach with circumferential injection in patients scheduled for unilateral TKA(total knee arthroplasty) surgeries.
Conditions
- Neuromuscular Blockade
Interventions
- PROCEDURE
-
Infragluteal space group
Sciatic Nerve Block "Infragluteal group": Ultrasound scanning will be used to identify and mark the greater trochanter laterally and the ischial tuberosity medially. The midpoint between these two structures is a rough non-binding estimate of the approximate location of the sciatic nerve. The sciatic nerve is usually found anterior (deep) to the gluteus maximus muscle and lateral to the origin of the biceps femoris muscle at the ischial tuberosity as well as medial to the greater trochanter. The end point of nerve block in this group is obtaining a circumferential local anesthetic spread around the sciatic nerve.
- PROCEDURE
-
Subgluteal space group
Subgluteal space group: The operator will identify the gluteus maximus and biceps femoris muscles at the level of the greater trochanter and ischial tuberosity and the infragluteal space.
Sponsors & Collaborators
-
University Health Network, Toronto
lead OTHER
Principal Investigators
-
Richard Brull, MD · University of Toronto
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- FACTORIAL
Eligibility
- Min Age
- 18 Years
- Max Age
- 85 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2011-06-30
- Primary Completion
- 2012-01-31
- Completion
- 2012-01-31
Countries
- Canada
Study Locations
More Related Trials
-
Use of Ultrasound in Lower Extremity Blocks.
NCT00221910 ·Status: COMPLETED ·Phase: NA
-
Comparison of the Sensitive Cutaneous Block Distribution Following Femoral Nerve Block Using Two Femoral Block Techniques
NCT02721290 ·Status: UNKNOWN ·Phase: NA
-
Minimum Effective Volume of Lidocaine-Bupivacaine for Subgluteal Block
NCT02571699 ·Status: UNKNOWN ·Phase: NA
-
Comparing Ways to Freeze the Nerve That Provides Thigh Sensation
NCT02577510 ·Status: COMPLETED ·Phase: PHASE3
-
Ultrasound-guided Sciatic Nerve Block in Below Knee Amputation Surgery
NCT03394014 ·Status: COMPLETED ·Phase: NA
-
Effectiveness of Peripheral Blocks Under Ultrasound Control With and Without Electrical Nerve Stimulation
NCT05054881 ·Status: COMPLETED ·Phase: NA
-
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.).
NCT05205473 ·Status: COMPLETED ·Phase: NA
-
Popliteal Sciatic Nerve Block Catheter Placement for Foot Surgery
NCT01049906 ·Status: COMPLETED ·Phase: NA
-
Ultrasound Guided Subgluteal Sciatic Nerve Block Versus Caudal Analgesia for Cerebral Palsy Patients Undergoing Lower Limb Corrective Surgeries
NCT05774132 ·Status: COMPLETED ·Phase: NA
-
Ultrasound-guided Femoral Nerve Block Without Electrical Stimulation of Peripheral Nerves
NCT05209490 ·Status: COMPLETED ·Phase: NA
-
Ultrasound Guided Nerve Block for Hip Fracture Pain Management at Emergency Department
NCT05403073 ·Status: UNKNOWN ·Phase: NA
-
Sciatic Perineural Versus Stump Catheter for Below Knee Amputation
NCT01608035 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Visualizing Peripheral Nerves Using Ultrasound-Guided Approach
NCT00221949 ·Status: COMPLETED
-
Ultrasound-Guided Sciatic Popliteal Nerve Block vs. Erector Spinae Plane Block in Endovascular Management of CLI
NCT06913348 ·Status: COMPLETED
-
Ultrasound-Guided Continuous Sciatic Nerve Blocks: Popliteal Versus Subgluteal Catheters
NCT01325012 ·Status: TERMINATED ·Phase: PHASE4
-
Comparison of Ultrasound-Guided Infraclavicular Block and Ultrasound-Guided Axillary Block
NCT01761175 ·Status: COMPLETED ·Phase: NA
-
Ultrasongraphy Versus Fluoroscopy in Lumber Sympathetic Block in Chronic Lower Limb Ischemia
NCT06073795 ·Status: NOT_YET_RECRUITING
-
Ultrasound Guided Sciatic Nerve Block
NCT02688439 ·Status: COMPLETED ·Phase: NA
-
Needle Nerve Contact in Ultrasound Guided Femoral Block
NCT01554722 ·Status: UNKNOWN ·Phase: NA
-
Blind Fascia Iliaca Compartment Block Compared to Ultrasound-guided Femoral Nerve Block in Patients With Hip Fractures
NCT05365555 ·Status: UNKNOWN
-
Can the Femoral Nerve Block be Improved by Ultrasound Guidance?
NCT00696150 ·Status: UNKNOWN ·Phase: PHASE4
-
Ultrasound-guided Nerve Blocks for the Sciatic and Saphenous Nerves: Characteristics of the Single Penetration Dual Injection (SPEDI) Technique
NCT01815372 ·Status: COMPLETED ·Phase: NA
-
US-guided Ilioinguinal Blocks Versus Local Infiltration
NCT01871181 ·Status: TERMINATED ·Phase: NA
-
Evaluation by Ultrasound Imaging of Local Anesthetic Spread to the Popliteal Fossa During an Adductor Canal Block
NCT06245460 ·Status: TERMINATED
-
Popliteal Approach to Sciatic Nerve Block Is Not Inferior to Infragluteal Approach
NCT03410888 ·Status: COMPLETED ·Phase: NA