Health Condition 1: null- Patient with or without mild systemic disease (ASA I and II),undergoing major spine surgery with surgical duration upto 4 hours
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.ASA I/II 2.Age 20-65 years 3.Weight of >45 kg to 4.Major Spine surgery 2 to 4 levels,with or without fixation.
Exclusion criteria
Exclusion criteria: 1. Consent refusal 2. Body-weight: 75 kg 3. Allergic to opioids/local anaesthetics 4. Any decompensating systemic illness (renal, hepatic, cardiac, respiratory, etc.) 5. Coagulation disorder 6. Neurologic/psychiatric disorder/drug dependence/substance abuse 7. ASA physical status: III/IV 8. Inadvertent dural-rent during surgery 9. Blood loss necessitating transfusion 10. Prolonged surgical duration (>=4-hours) 11. Perioperative ionotrope/vasopressor use 12. Need for elective postoperative ventilation 13. History of previous spine surgery
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| 1. Total IV-PCA fentanyl consumption 2. Side effects (respiratory distress, nausea, vomiting, etc.) specific to morphine infiltration 3. Patient satisfaction Timepoint: Extubation to 72 hours after the procedure | — |
Primary
| Measure | Time frame |
|---|---|
| 1. Peripheral morphine analgesia assessment 2. Time-to-first rescue analgesia 3. The requirement of postoperative intravenous patient-controlled analgesia (IV-PCA) Timepoint: Extubation to 72 hours after the procedure | — |
Countries
India
Contacts
Department of Anaesthesiology,Pain and Perioperative Medicine