Health Condition 1: null- PATIENTS UNDERGOING LOWER LIMB ORTHOPAEDIC SURGERIES
Conditions
Interventions
Intervention1: Combined spinal and epidural anesthesia using single space technique (SST): In SST, epidural space will be indentified in midline in an intervertebral space. And spinal anesthesia will
Sponsors
St Johns Medical College And Hospital
Dr BINDU GEORGE
Eligibility
Inclusion criteria
Inclusion criteria: 1.Belonging to (American society of anesthesiologist physical status)ASA PS grade I/II 2.Scheduled for elective lower limb orthopaedic surgery receiving combined spinal and epidural anesthesia
Exclusion criteria
Exclusion criteria: 1.Local puncture site infection over spine 2.Spinal deformity 3.Signs and symptoms of raised intracranial tension 4.History of bleeding disorders or coagulopathy or platelet count 5.History of coronary artery disease or arrhythmias 6. History of progressive neurological disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare technique and block characteristics of combined spinal epidural anesthesia between two different techniques-double spaces vs single spaceTimepoint: Sensory level of block using needle prick, motor level of block using modified Bromage scale , number of attempts made in each technique,time taken for performing the technique | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare post-operative adverse effects between two different techniques of combined spinal epidural anesthesia -double spaces vs single spaceTimepoint: By presence or absence of Post dural puncture head ache,Post operative back ache,Post operative nausea & vomiting ;To compare the hemodynamic variation after combined spinal epidural anesthesia between two different techniques-double spaces vs single spaceTimepoint: By measuring variations in Systolic BP, Diastolic BP, Mean BP and Oxygen saturation | — |
Countries
India
Contacts
Public ContactDr K Pramod
St Johns Medical College And Hospital
Outcome results
None listed