Health Condition 1: -
Conditions
Interventions
Intervention1: Dexamthasone: Intravenous Dexamethasone 4mg or 8mg,according to the patient group will be given during the subarachnoid block.
Control Intervention1: Normal Saline: 2ml of normal saline
Sponsors
DR MAYA DEHRAN
Department of anaesthesiologyPain Medicine and Critical care
Eligibility
Inclusion criteria
Inclusion criteria: ASA 1 and 2, infra umbilical surgery,duration of surgery less than or equal to 3hrs, BMI less than or equal to 30
Exclusion criteria
Exclusion criteria: Patient refusal,long term steroid therapy,allergy to dexamethasone,patient with diabetes mellitus,alcoholic abuse,addiction t opioids and chronic use of other analgesic drug,neurological and psychological disorders, chronic back ache,sepsis,infection at local site.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Duration of sensory and motor blockade during subarachnoid blockTimepoint: Sensory blockade will be till 4 dermatomes regression.motor block from bromage score 0 to 3. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Time of onset of sensory block and motor blockage. 2) Duration of post op analgesia and total dose of analgesic needed in first 24hr. 3) Effect on blood sugar levels. 4) Haemodynamics and other side effects – Post operative nausea and vomiting (PONV), itching and respiratory depression. 5) Ramsay sedation score for level of sedation. Timepoint: 1)Onset time of sensory block will be defined as the time from injection of drugs into the intrathecal space to peak of sensory blockade.Onset of motor block will be defined as the time from intrathecal injection of drug until the modified Bromage scale is 3. 2) The time to the first bolus dose will be recorded as the first analgesic requirement during first 24 hours. | — |
Countries
India
Contacts
Public ContactSumanth S
All India institute of medical sciences New delhi
Outcome results
None listed