Saves the questions and what to expect into your notes, next to the visit they belong to.
Keep this study
Lead
VA Palo Alto Health Care System
Primary Aim: To determine if there is an optimal scanning technique for ultrasound-guided perineural catheter insertion that will result in the most accurate tip placement in proximity to the target nerve or plexus.
Secondary Aim: To determine if there is an optimal location for ultrasound-guided perineural catheter insertion along a target nerve or plexus that will result in maximum local anesthetic infusion benefits.
Age
18–any
Sex
ALL
Healthy volunteers
Not accepted
You may be eligible if
At least 18 years of age;
Undergoing unilateral, upper (at or distal to the elbow) or lower (hip or distal) extremity orthopedic surgery, with moderate-to-severe postoperative pain expected; and
Desiring a continuous perineural catheter for postoperative analgesia.
You may not be if
Patients who will have difficulty understanding the study protocol or caring for the infusion pump/catheter system; or
Patients with any known contraindication to study medications, insulin-dependent diabetes mellitus, neuropathy of any etiology in the affected extremity;
Patients with a contraindication to regional blockade (eg, clotting deficiency);
Patients with any known acute or chronic hepatic or renal insufficiency or failure;
Patients with any additional surgical site outside of the catheter-affected area (eg, iliac crest bone graft in addition to hand surgery);
Patients with chronic opioid use (defined as daily use for more than 4 weeks prior to surgery) or active illicit substance abuse;
Patient weighing \< 40 kg;
Pregnancy;
Incarceration; or
Inability to communicate with the investigators and hospital staff.
Clareo Health | Optimizing Catheter Insertion Technique for Ultrasound-guided Continuous Peripheral Nerve Blocks