Health Condition 1: K601- Chronic anal fissure Health Condition 2: K649- Unspecified hemorrhoids
Conditions
Interventions
Intervention1: Ultrasound guided caudal epidural anesthesia: Under ultrasound guidance bupivacaine 0.25% 15 ml will be administered once through the caudal epidural route. Patients will be monitored t
Sponsors
Vinayaka Missions Medical college
Eligibility
Inclusion criteria
Inclusion criteria: 1.Healthy adult patients coming for surgeries for anal fissure or hemorrhoids as a day care procedure 2. expected duration of surgery less than one hour
Exclusion criteria
Exclusion criteria: 1. Presence of severe illnesses (cardiovascular, respiratory, neurological, musculoskeletal, hematological) 2. Inability to lie down in prone position 3. Local infection over injection site 4. Prolonged or extensive surgery planned 5. Pregnancy 6. Anatomical abnormalities of sacrum or caudal space
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time required to ambulate without supportTimepoint: Immediately after surgery and every thirty minutes thereafter | — |
Secondary
| Measure | Time frame |
|---|---|
| Change in blood pressure and heart rateTimepoint: Baseline, immediately after injection and every 15 minutes till end of surgery;Degree of motor blockade as judged by modified Bromage scaleTimepoint: Immediately after surgery and every fifteen minutes thereafter;Ease of surgery as determined by the surgeonTimepoint: After completion of surgery;Patient satisfactionTimepoint: After positioning for surgery and at the end of the surgery;Post operative analgesia durationTimepoint: Immediately after surgery and every 15 minutes thereafter till administration of analgesics;Success rate as judged by absence of pain and discomfort experienced by the patientTimepoint: After positioning and continuously till end of surgery | — |
Countries
India
Contacts
Public ContactPreethipriyadarshini
Vinayaka Missions Research foundation
Outcome results
None listed