NCT07514000

REGIONAL ANESTHESIA AND RECOVERY AFTER VARICOSE VEIN RFA

THE EFFECTS OF REGIONAL ANESTHESIA METHODS ON THE QUALITY OF RECOVERY IN RADIOFREQUENCY ABLATION OF VARICOSE VEINS

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 40 (actual)
• Sponsor: Zonguldak Bulent Ecevit University · Academic / Other
• Sex: All
• Age: 18 Years – 65 Years
• Healthy volunteers: Not accepted

Summary

This prospective observational study aims to compare the effects of spinal anesthesia and supra-inguinal fascia iliac block (SIFIB) on the quality of postoperative recovery in endovenous radiofrequency ablation (RFA) of varicose veins. The primary outcome measure of the study is the QoR-40 quality of recovery score. Secondary outcome measures include postoperative pain scores (VAS/NRS), motor block level (Bromage Scale), perfusion index (PI), time to first mobilization, and patient and surgeon satisfaction.

Conditions

• Suprainguinal Fascia Iliaca Block
• Varicose Veins
• Radiofrequency Ablation
• Regional Anaesthesia

Interventions

Type	Name	Description
PROCEDURE	Spinal anesthesia (heavy bupivacaine)	Following standard monitoring (ECG, non-invasive blood pressure, SpO2, perfusion index), the patient will be prepared in a sitting position. Under aseptic conditions, the L3-L4 or L4-L5 intervertebral space will be identified using a midline approach; a 25-gauge Quincke spinal needle will be inserted into the subarachnoid space. After confirmation of free CSF flow, hyperbaric bupivacaine 0.5% will be administered intrathecally.
PROCEDURE	SUPRAINGUINAL FACIA ILIACA BLOCK	After standard monitoring (ECG, non-invasive blood pressure, SpO2, perfusion index), the patient will be placed in the supine position. Under aseptic conditions, a high-frequency linear ultrasound probe will be placed under the inguinal ligament to visualize the iliac fascia compartment; then, the probe will be slid cephalad over the inguinal ligament to identify the supra-inguinal approach point. Using the in-plane technique, a 22-gauge, 50 mm block needle will be passed through the iliac fascia under real-time ultrasound guidance. Negative aspiration will be confirmed by ultrasonographic visualization of the characteristic hydrodissection between the iliac fascia and the iliopsoas muscle. 40 mL of 0.20% bupivacaine local anesthetic will be injected.

Timeline

• Start date: 2024-07-01
• Primary completion: 2025-07-30
• Completion: 2025-07-30
• First posted: 2026-04-07
• Last updated: 2026-04-07

Locations

1 site across 1 country: Turkey (Türkiye)