Bupivacaine-Lidocaine vs Bupivacaine for Ultrasound-Guided Popliteal Sciatic Nerve Block
NCT07550348 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2026-05-12
Summary
This prospective, randomized, double-blind clinical trial aims to compare the efficacy of two local anesthetic regimens for ultrasound-guided popliteal sciatic nerve block in adult patients undergoing elective distal lower extremity surgery.
Eligible participants (ages 18-65, ASA physical status I-III, BMI 18-35 kg/m²) will be randomized into two equal groups of 30. Patients in Group BL will receive a combination of 10 mL 2% lidocaine and 10 mL 0.5% bupivacaine, while patients in Group B will receive 20 mL 0.5% bupivacaine alone, administered via ultrasound-guided popliteal sciatic nerve block prior to surgery.
The primary outcome is the onset time of sensory and motor blockade. Secondary outcomes include block success rate, duration of sensory and motor block, postoperative opioid consumption, pain scores assessed by the Numeric Rating Scale (NRS) at 2, 4, 8, 12, and 24 hours postoperatively, Quality of Recovery-15 (QoR-15) score, and incidence of rebound pain.
The study is conducted at Ataturk University Research Hospital, Department of Anesthesiology and Reanimation, Erzurum, Turkey.
Conditions
- Lower Extremity
- Nerve Block
- Pain, Postoperative
- Pain, Nerve
Interventions
- DRUG
-
Bupivacaine-Lidocaine Combination
Ultrasound-guided popliteal sciatic nerve block with 10 mL 2% lidocaine and 10 mL 0.5% bupivacaine administered sequentially in separate syringes (total volume: 20 mL).
- DRUG
-
Bupivacaine
Ultrasound-guided popliteal sciatic nerve block with 20 mL 0.5% bupivacaine administered in two separate 10 mL syringes (total volume: 20 mL).
Sponsors & Collaborators
-
Ataturk University
lead OTHER
Principal Investigators
-
AHMET MURAT YAYIK, MD, PhD · Ataturk University Faculty of Medicine, Department of Anesthesiology and Reanimation
-
ASLIHAN BOROGLU, MD · Ataturk University Faculty of Medicine, Department of Anesthesiology and Reanimation
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-12-01
- Primary Completion
- 2026-12-01
- Completion
- 2027-03-01
Countries
- Turkey (Türkiye)
Study Locations
More Related Trials
-
Clinical Observation of Bupivacaine Liposome for Lower Extremity Nerve Block
NCT07366905 ·Status: COMPLETED ·Phase: PHASE2
-
Psoas Sciatic Blockade for Knee Arthroplasty
NCT03088371 ·Status: COMPLETED ·Phase: NA
-
How Do We Ultrasound-Guided Popliteal Approach Sciatic Nerve Block?
NCT06372691 ·Status: COMPLETED ·Phase: NA
-
Two Different Blocks for Postoperative Analgesia in Patients Undergoing Unilateral Total Knee Arthroplasty
NCT04286035 ·Status: COMPLETED ·Phase: PHASE4
-
Sciatic Nerve Block for Ankle/Foot Surgeries. A Comparison Between a Premixed Solution of Lidocaine Plus Bupivacaine and Consecutive Infiltration of Lidocaine and Bupivacaine
NCT01756443 ·Status: COMPLETED ·Phase: PHASE4
-
Ultrasound-Guided Fascia Iliaca Compartmental Block Versus Spinal Anesthesia in Femoral Thrombectomy
NCT06745986 ·Status: COMPLETED ·Phase: PHASE4
-
Combined Adductor&Sciatic Nerve Block vs Femoral&Sciatic Nerve Block in Total Knee Replacement Surgery
NCT05648708 ·Status: COMPLETED ·Phase: NA
-
Comparison of Local Anesthetic Dose in PENG Block Performed in Total Hip Replacement Operations
NCT04900116 ·Status: COMPLETED ·Phase: NA
-
Protracted Effect of the Ultrasound-guided Saphenous Block
NCT02346110 ·Status: COMPLETED ·Phase: PHASE4
-
Effectiveness of Peripheral Blocks Under Ultrasound Control With and Without Electrical Nerve Stimulation
NCT05054881 ·Status: COMPLETED ·Phase: NA
-
Evaluation by Ultrasound Imaging of Local Anesthetic Spread to the Popliteal Fossa During an Adductor Canal Block
NCT06245460 ·Status: TERMINATED
-
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
-
Analgesic Efficacy of Adding SCB With Low Concentration Bupivacaine Combined With Dexamethasone on Pain After TKA
NCT03486548 ·Status: UNKNOWN ·Phase: PHASE4
-
Regional Anesthesia for Lower Extremity Surgery
NCT06777953 ·Status: COMPLETED
-
Efficacy of Continuous Sciatic Nerve Block in Diabetic Foot Patients
NCT04212325 ·Status: COMPLETED ·Phase: NA
-
Ultrasound Guided Quadratus Lumborum Block for Post Operative Analgesia After Hip Arthroplasty
NCT03502369 ·Status: UNKNOWN ·Phase: NA
-
Different Bupivacaine Volumes in Infiltration Between Popliteal Artery and Capsule of Knee Block
NCT05438992 ·Status: COMPLETED ·Phase: NA
-
Epidural Catheter With or Without Adductor Canal Nerve Block for Postoperative Analgesia Following Total Knee Arthroplasty
NCT02121392 ·Status: COMPLETED ·Phase: NA
-
Prospective RCT Lidocaine & Levobupivacaine on Block Dynamics After Subparaneural Popliteal Sciatic Nerve Block
NCT04397484 ·Status: RECRUITING ·Phase: PHASE4
-
Premixed vs Sequential Injections of Lidocaine and Bupivacaine for Supraclavicular Brachial Plexus Block in Patients Undergoing Arteriovenous Fistula Creation
NCT06570096 ·Status: COMPLETED ·Phase: NA
-
Impact of Ultrasound Guidance on Central Neuraxial Block Success in Patients With Non-Palpable Vertebral Anatomy
NCT07269184 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Ultrasound Guıded Adductor Canal Block vs Perıcapsular Nerve Group Block in Knee Artroplasty
NCT06203483 ·Status: COMPLETED ·Phase: NA
-
Comparison of Fasia Iliac Compartment Block and 4in1 Block
NCT06436105 ·Status: COMPLETED ·Phase: NA
-
Erector Spinae Block vs Conventional Analgesia for Postoperative Analgesia in PCNL
NCT06935006 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
2% Lidocaine Plus 0.5% Bupivacaine Versus 0.5% Bupivacaine in Brachial Block for Creation of Arteriovenous (AV) Fistula
NCT00993746 ·Status: UNKNOWN ·Phase: PHASE4