Health Condition 1: O- Medical and Surgical Health Condition 2: null- participants belonging to ASA grade I and II scheduled to undergo lower limb orthopaedic surgery .
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ASA physical status I and II, Paricipants undergoing lower limb orthopaedic surgery under subarachnoid block, Informed written consent for participation in study
Exclusion criteria
Exclusion criteria: 1.Partticipants having contraindications to subarachnoid block (congrnital spinal anomalies, altered coagulation profile, local site skin infection) 2.Participants having severe psychiatric disorders (depression, dementia) 3.Participants having neurological diseases (brain tumor, CNS syphilis, meningitis) 4.Spinal cord and peripheral nerve diseases, poliomyelitis, multiple sclerosis 5.Participants having allergy to local anesthetic drug 6.drug/alcohol abuse 7.Participants not willing for subarachnoid block 8.Any pregnant lady
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Sensory characteristics of block Onset,Peak,Duration 2. Motor characteristics of block Onset,Peak,Duration 3. Post operative analgesia a) Duration of post-operative analgesia. b) Total dose and frequency of rescue analgesics required in 24 hours Timepoint: 1. Sensory characteristics of block Onset,Peak,Duration 2. Motor characteristics of block Onset,Peak,Duration 3. Post operative analgesia a) Duration of post-operative analgesia. b) Total dose and frequency of rescue analgesics required in 24 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Effect on hemodynamic variables like pulse, mean arterial pressure,oxygen saturation. 2. Complications of drug and technique, if any (for e.g. nausea, vomiting, bradycardia, hypotension, pruritis, shivering, anaphylaxis,respiratory depression) Timepoint: Intra-op pulse,BP and oxygen saturation monitoring throughout the surgery. After the completion of surgery,sensory and motor block assessment 30 min interval till regression of sensory and motor blockade,4 hourly interval for next 24 hours for complications and adverse events if any. Time of analgesia request(TAR) noted in post-op period,pain intensity assessed by a Visual Analogue Scale (VAS) graded 1-10 cm. | — |
Countries
India
Contacts
Govt. Medical College, Bhavnagar.