Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Patients undergoing major abdominal surgeries. 2.Age >18 years of both genders. 3.ASA physical status:I,II,III 4.Both elective and emergency surgeries.
Exclusion criteria
Exclusion criteria: 1.Patient refusal. 2. BMI >35 3.ASA IV 4. Abdominal trauma with hemorrhagic shock 5.Sepsis,perforative peritonitis,septic y 6.Any absolute or relative contradications of spinal anaesthesia. 7.Allergic to local anesthetics and opioids.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rescue opioid analgesic requirement in the first 72 hours of post operative periodTimepoint: Base line (0 hour), 3 hr, 6 hr, 18 hr, 24hr, 48hr and 72 hr | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Dose of spinal anesthesia required to achieve T4 level. 2.Perioperative pain scores-NRS 3.Conversion to GA 4.Hemodynamic stability. 5.Nausea,vomiting,pruritis 6.Patient satisfaction. 7.Surgeon satisfaction. 8.Gut motility:return of bowel function. 9.Length of hospital stay and in hospital mortality.Timepoint: Baseline at 0hrs,3 hrs,6hrs,12 hrs,18 hrs,24hrs,48hrs and 72 hrs | — |
Countries
India
Contacts
AIIMS Rishikesh