Health Condition 1: null- Acute trauma
Conditions
Interventions
Intervention1: Spinal-epidural anaesthesia: Spinal anaesthesia which involves performing a lumbar puncture and injecting 2.5 ml of 0.5% heavy bupivacaine with fentanyl 25 mics and -epidural catheter p
Sponsors
Venkata Ganesh
Eligibility
Inclusion criteria
Inclusion criteria: 1. Acute head injury. 2. Mild traumatic brain injury defined as a) GCS 13 to15 b) loss of consciousness for 30 minutes or less c) duration of posttraumatic amnesia of 24 hours or less 3. Age group of 20 to 60 years. 4. Lower extremity surgery for trauma.
Exclusion criteria
Exclusion criteria: 1. Associated systemic injury eg.,chest and abdomen. 2. Patients expected to undergo multiple surgery. 3. Patients with other systemic illness. 4. Patients with any contraindication for regional anaesthesia eg.,coagulopathy 5. The patients of the reginal anaesthesia group in whom the neuraxial block will be ineffective or doubtful will be excluded from the study and administered general anaesthesia.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| GCSTimepoint: preoperative, postoperative, 48 hours, 7 days, discharge | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of hospital stayTimepoint: discharge;HemodynamicsTimepoint: intraoperative;Serum S100BTimepoint: Pre and postoperative | — |
Countries
India
Contacts
Public ContactHemant Bhagat
PGIMER
Outcome results
None listed