Health Condition 1: - Health Condition 2: O- Medical and Surgical
Conditions
Interventions
Intervention1: Sitting versus lateral position: Comparison between sitting versus lateral position for induction of spinal anaesthesia in elderly
patients undergoing lower limb surgeries. For sitting
Sponsors
Adesh Institute of Medical Sciences and Reaesrch
Eligibility
Inclusion criteria
Inclusion criteria: ASA grade I-II patients of both sexes, age more than 70 yrs, weight between 40-70kg, height between 1.4-1.8m undergoing lower limb surgeries of expected duration less than 120 minutes will be included in the study.
Exclusion criteria
Exclusion criteria: Patients refusing to give consent, history of hypersensitivity to local anaesthetic, any neurological disorder, major systemic disease like liver and cardiovascular disease, coagulopathy or bleeding disorders, on anticoagulant therapy, anatomical deformities (spinal congenital anomalies, acquired scoliosis, post-traumatic, post-laminectomy), any haemodynamic instability, patients at risk of developing sepsis, bacterial wound infection and ASA grade III â?? V patients will be excluded from the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| This study has been designed to compare patientâ??s comfort and satisfaction level associated with sitting and lateral positions for induction of spinal anesthesia in the elderly patient.Timepoint: Sensory Block Assessment : 1. The onset of analgesia (tested every 10 seconds from time â??0â?? that will be injection of drug in subarachnoid space. ) 2. Height of sensory block 3. Maximum sensory block level 4. Time required to achieve maximum sensory block level Motor Block Assessment : 1. The onset of motor block ( it will be tested from â??0â?? time to the time of onset and it will be tested every 10) 2. Modified Bromage score | — |
Secondary
| Measure | Time frame |
|---|---|
| Comparision will be carried out in following parameters - Hemodynamics after spinal anaesthesia - quality of sensory and motor block - patientâ??s comfort and satisfaction with spinal induction position Timepoint: After the spinal injection assessments will be made every 3 min for the first 15 min, then every 5 min for the following 30 min for height of sensory and motor blocks, heart rate, systolic, diastolic and mean arterial pressures and SPO2 . | — |
Countries
India
Contacts
Public ContactDr Shilpa Bansal
Adesh Institute of Medical Sciences and Research
Outcome results
None listed