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Retrospective study that the PI decided not to proceed with
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This is a retrospective chart review to determine the non-inferiority of performing lower extremity peripheral nerve block placement under spinal anesthesia compared to its pre-spinal counterpart.
This is a retrospective chart review to determine the non-inferiority of performing lower extremity peripheral nerve block placement under spinal anesthesia compared to its pre-spinal counterpart.
Primary outcome:
- The investiigators will be looking into persistent abnormal neuropathic symptoms lasting more than 7 days following a sciatic popliteal nerve block.
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| Measure | Description | Time Frame |
|---|---|---|
| Persistent Abnormal Neuropathic Symptoms | Definition of abnormal neuropathic symptoms including numbness, tingling, burning, or pain sensation. | lasting more than 7 days following a sciatic popliteal nerve block |
| Measure | Description | Time Frame |
|---|---|---|
| NRS pain scores in recovery | A score on a scale from 0 to 10 on how bad the pain is. 0 means no pain, 10 means worst pain. A lower score means a better outcome. | PACU recovery stay (up to 48 hours) |
| Amount of supplemental analgesic and antiemetic provided in the PACU |
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Inclusion Criteria:
Exclusion Criteria:
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The investigators plan to analyze data for patients who underwent ambulatory foot or ankle procedures with the use of spinal anesthesia and sciatic nerve block in the popliteal fossa at HSS between March 1, 2016 and February 24, 2020
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| Name | Affiliation | Role |
|---|---|---|
| Sang Kim, MD | Hospital for Special Surgery, New York | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital for Special Surgery | New York | New York | 10021 | United States |
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This includes: IV dilaudid push, oral oxycodone, tramadol, hydrocodone, dilaudid, acetaminophen, ketorolac, ondansetron, dexamethasone. |
| PACU recovery stay (up to 48 hours) |
| Anesthesia induction time | time from entering the OR to time of anesthesia induction end as defined by the completion of both the spinal and sciatic nerve blockade | From the time which patients enter the OR to time of anesthesia induction end (up to 24 hours) |
| Number of hypoxemia events during induction time | during induction time (up to 24 hours) |
| Amount of sedation given | fentanyl, ketamine, midazolam, propofol | during induction time (up to 24 hours) |