Health Condition 1: M959- Acquired deformity of musculoskeletal system, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Age :18-65 years 2) Male/female 3) ASA 1 and 2 4) Patient posted for lower thoracic and upper lumber spine surgery (T8-L3) involving 2-4 intervertebral spaces. 5) Nontraumatic cases and Traumatic cases with no other skeletal trauma 6) Patient able to grade severity of pain.
Exclusion criteria
Exclusion criteria: 1) Preoperative pain score more than or equal to 5 2) BMI >35kg/m2 3) Pregnant or lactating woman 4) Patient with CAD/bradycardia/heart block/arrhythmias 5) Patient with hepatic/renal failure /CNS pathology 6) Patient with psychiatric disorder. 7) Patient not able to assess and tell severity of pain 8) Patients with allergies to any study medication. 9) Inability to position patient for block 10) ASIA A spine injury
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare duration of pain free period postoperatively in patients receiving ESP block with ropivacaine and dexmedetomidine Vs ropivacaine alone.Timepoint: 1) postoperative pain scores at 0,2,4,6,8,12 and 24 hrs 2) rescue analgesic requirements during first 24 hour after surgery. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To compare postoperative pain scores at 0,2,4,6,8,12 and 24 hrs 2. To compare rescue analgesic requirements during first 24 hour after surgery. 3. To compare intraoperative qNOX values as a measure of intraoperative analgesia. 4. To compare intraoperative hemodynamic parameters (HR and MAP) 5. To compare patientsâ?? satisfaction regarding postoperative analgesia in patients receiving ESP block with ropivacaine and dexmedetomidine Vs ropivacaine alone . Timepoint: Post operative period at 0,2,4,8,12,24 hrs and intraoperative | — |
Countries
India
Contacts
PGIMER CHANDIGARH