None listed
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ASA I-II patients posted for robot assisted laparoscopic surgery.
Exclusion criteria
Exclusion criteria: • Contraindication to the use of dexmedetomidine- c/o liver dysfunction- cirrhotic or pt with deranged LFT- e.g. Alanine transaminaseï¼?ALTï¼?and (or) Aspartate aminotransferaseï¼?ASTï¼? level is more than twice the upper limit of normal, INR >1.5 • Patient with severe renal dysfunction, GFR less than 50 ml /hr • All hypertensives, • Patients with heart blocks or bradycardia HR • Patient with premature ventricular ectopics >5/min. • Mini laparotomy( more than 5 cm ) planned for removal for anastomosis or surgical dissection e.g, robotic assisted cystectomy, whipples surgery, abdominal perineal resection.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| â?¢ Reduction in intraoperative opioids requirement by using dexmedetomidine iv infusion verses saline in robotic assisted laproscopic onco surgeries. â?¢ Time to need for first rescue analgesic in postoperative period (PS3/10. At rest/ 4/10 at movement) Timepoint: â?¢ Reduction in intraoperative opioids requirement by using dexmedetomidine iv infusion verses saline in robotic assisted laproscopic onco surgeries. â?¢ Time to need for first rescue analgesic in postoperative period (PS3/10. At rest/ 4/10 at movement) | — |
Secondary
| Measure | Time frame |
|---|---|
| · To compare intra-operative hemodynamics 5, 10, 20 ,and every 30 min till stop of infusion · To compare no of episodes of hypotension / bradycardia · Recovery time-time to eye opening after switching off of inhalational agents (i.e. inspiratory inhalational agent- zero ) · Incidence of Postoperative nausea and vomiting in either groupTimepoint: Intraoperative and first 24 hours | — |
Countries
India
Contacts
Department of Anesthesia, Critical Care and Pain