Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Postoperative analgesic management by continuous perioprative multimodal intravenous analgesic technique using dexmedetomidine, lignocaine and ketamine.: For perioperative analgesia a c
Sponsors
DR BRAIRCH AIIMS NEW DELHI
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age of 18 years or older, but less than 70 years. 2. Posted for elective oncological abdominal surgeries. 3. Patients giving consent for the procedure.
Exclusion criteria
Exclusion criteria: 1. Complicated with mental illness which could interfere with the evaluation of pain scores. 2. Severe heart disease (NYHA classification =3) 3. History of epilepsy 4. Any renal or hepatic disorder before surgery. 5. Contraindications of epidural anesthesia. 6. Allergic to any drug used during the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain assessment using Numerical rating scale (NRS).Timepoint: After shifting to ICU, 1, 2, 4, 8, 12, 18 and 24 hours in the post-operative period. | — |
Secondary
| Measure | Time frame |
|---|---|
| Any other complications in the Epidural groupTimepoint: Till the day of discharge;Any other complications in the IV groupTimepoint: Till the day of discharge;Pain assessment using NRS during coughing/deep breathingTimepoint: After shifting to ICU, 1, 2, 4, 8, 12, 18 and 24 hours in the post-operative period.;To compare intraoperative hemodynamic parameters (SBP, DBP, MAP & HR)Timepoint: Intraoperative period;To compare intraoperative IV fentanyl consumptionTimepoint: Intraoperative period;To compare other postoperative parameters (sedation score, time to first flatus, movement out of bed, postoperative nausea and vomiting)Timepoint: Till the day of discharge;To compare postoperative IV fentanyl consumption by PCATimepoint: 24 hours | — |
Countries
India
Contacts
Public ContactDr Sushma Bhatnagar
All India Institute of Medical Sciences, New Delhi
Outcome results
None listed