Health Condition 1: M513- Other thoracic, thoracolumbar andlumbosacral intervertebral disc degeneration
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) American Society of Anaesthesiologist (ASA) physical status I and II patients of either gender. 2) Patients posted for elective non-instrumentation lumbar surgeries lasting not more than 3 hours. 3)Aged between 20 to 65 years
Exclusion criteria
Exclusion criteria: 1. Patient refusal for regional anaesthesia 2. Patients in whom regional anaesthesia is contraindicated 3. Any known allergy to any of the drugs 4. BMI > 30kg/m2 5. Infection at local site 6. Patient on anti-coagulant therapy 7. Inability to give informed consent 8. Patient cannot operate PCA system 9. Psychiatric disorders 10. Patients with cardiac abnormalities (like IHD, severe aortic mitral valve disorders, heart failure, untreated HTN) 11. Patients with history of long-term intake of corticosteroids 12. Patients with history of intake of opioid analgesic edications 48 hour prior to surgery 13. Loss to follow up
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To study and compare the total Morphine consumption over 24 hours postoperatively in patients undergoing lumbar spine surgery.Timepoint: To study and compare the total Morphine consumption over 24 hours postoperatively in patients undergoing lumbar spine surgery at 30mins, 2,4,6,8,12,18 and 24 hours interval. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Time of first analgesic used over 24 hours (Time from PACU discharge to first requested analgesic) 2) Numeric Rating Scale (NRS) score. This is a 10-point horizontal pain scale with 0 representing "no pain" and 10 representing "worst pain imaginable". A Higher score denotes worse outcome 3) Any opioid related side effects within the first 24 hours and Patient satisfaction utilizing a Likert-scale questionnaire on POD 1 Timepoint: To study the time of first requirement of rescue analgesic post surgery, assess the quality of analgesia using NRS scores and patient satisfaction using likert scale over 24 hours at 30 mins, 2, 4,6,8,12,18 and 24 hours interval | — |
Countries
India
Contacts
Himalayan Hospital