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Pain relief after major abdominal surgery in a resource-poor-environment: a comparison of two methods (spinal injection of morphine plus bupivacaine versus intravenous and subcutaneous injection of morphine)

Intrathecal bupivacaine-morphine versus systemic morphine analgesia for major abdominal surgery under general anesthesia in a resource poor setting

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2014/06/004683
Enrollment
92
Registered
2014-06-18
Start date
Unknown
Completion date
Unknown
Last updated
2021-11-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: null- Major abdominal surgery under general anesthesia

Interventions

Intervention1: Intrathecal injection of Bupivacaine 3.7 mL 0.25% + Morphine 0.9 mg (total 4 mL): Intrathecal injection of Bupivacaine 3.7 mL 0.25% + Morphine 0.9 mg (total 4 mL), plus Intravenous inje
and subcutaneous inj. morphine sulphate 0.1 mg/kg, diluted with NS to make 0.5 mL at the end of surgery and in the postoperative period

Sponsors

Medical College Kolkata
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Patients between 18 and 60 years of age of ASA physical status 1, 2, 3 undergoing general anesthesia for major abdominal surgery.

Exclusion criteria

Exclusion criteria: Patients having absolute contraindications for spinal anesthesia, systemic or intrathecal morphine; pregnancy; advanced cardiovascular disease, respiratory disease, renal disease or liver disease, with functional class worse than NYHA grade 2; circulatory shock; ASA physical status 4 or worse.

Design outcomes

Primary

MeasureTime frame
The failure rate of adequate pain control (proportion of patients with pain intensity on NRS of more than 3/10)Timepoint: First 24 hours postoperative period

Secondary

MeasureTime frame
Adverse effectsTimepoint: Intraoperative period and first 48 hours postoperative period.

Countries

India

Contacts

Public ContactJyotirmay Kirtania

Department of Anesthesiology, Medical College Kolkata

rayshreyasi@rediffmail.com9330960138

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026