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The purpose of this study is to compare, for the first time ever, single shot popliteal fossa blocks to ankle blocks as primary anesthesia for patients undergoing forefoot procedures. The primary outcome variable for this study is the percentage of patients that convert to general anesthesia following either a single shot popliteal fossa block or ankle block.
H0: There is no difference in the percentage of patients that convert to general anesthesia between single shot popliteal fossa blocks and ankle blocks.
HA: There will be a lower percentage of patients receiving a single shot popliteal fossa block that convert to general anesthesia compared to patients receiving an ankle block.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| single shot popliteal fossa block | Active Comparator |
| |
| ankle blocks | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| elective forefoot surgery | Procedure | Includes both soft-tissue and osseous procedures. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Conversion to general anesthesia following either a single shot popliteal fossa block or ankle block | Popliteal fossa and ankle blocks are types of anesthesia used during surgery. If these methods are not effective as an anesthetic during surgery the anethesiologist will convert to general anesthesia. | Participants will be followed for the duration of the surgery, an expected average of 2 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Visual Analog Pain Scale (VAS) | 24 hours postoperatively | |
| Patient Satisfaction | 48 hours postoperative | |
| Length of Post Anesthesia Care Unit (PACU) stay |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Bruce E Cohen, MD | OrthoCarolina, PA | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| OrthoCarolina, PA | Charlotte | North Carolina | 28203 | United States |
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Length of PACU stay is calculated from the time the patient is taken from the operative suite to PACU, ie recovery, to the time the patient leaves PACU. |
| Up to 6 hours postoperative |
| Narcotic Use | Up to 30 days postoperative |