Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients undergoing lower limb or lower abdominal surgery, of more than 60 mins duration. 2. Age 18 to 70 years of either sex 3. All patients with fasting period of 6hrs to solids and 2hrs to liquids
Exclusion criteria
Exclusion criteria: 1.Absolute contraindication to spinal anaesthesia 2.Patients on steroid therapy or past history of medication with steroids in last 1 year 3. Diabetic patient with HbA1c of more than 8 4. Obese patient with BMI > 40 5. In patientâ??s where there will be use of adjuvants intrathecally along with local anaesthetic drug 6. Intraoperative blood loss of more than 20% 7. Pre-operative hemoglobin level less than 10mg/dl 8. Patients with infections (appendicitis, choleycystitis, perforation, peritonitis) 9. Patients with Raised CRP and total counts 10. Allergy to local anaesthetic drug 11. Severe spinal deformity 12. Patient with preexisting neurological deficit 13. Parturient undergoing LSCS 14. Post-partum cases undergoing Abdominal TL
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate efficacy of IV dexamethasone in prolonging postoperative analgesia after spinal anesthesia.Timepoint: Post operatively for 24 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| To study the effects of IV dexamethasone on - intraoperative hemodynamics incidence of nausea, vomiting and shivering perioperatively.Timepoint: Hours | — |
Countries
India
Contacts
H M Patel centre for medical care and education