Health Condition 1: S828- Other fractures of lower leg
Conditions
Interventions
Intervention1: Study use of intrathecal low dose hyperbaric bupivacaine with fentanyl in high risk geriatric patients for lower limb surgeries: Study use of 0.5 milliliter of hyperbaric bupivacaine wi
Sponsors
Goa Medical College and Hospital
Eligibility
Inclusion criteria
Inclusion criteria: 1.Patient posted for lower limb surgery 2.ASA III and IV 3.Age more than or equal to 65 years 4.Duration of surgery less than or equal to 60 minutes
Exclusion criteria
Exclusion criteria: 1. Uncooperative patient/inability to communicate effectively 2. Allergy to the drugs involved in the study 3. History of drug or alcohol abuse, and patients on long-term opioids or sedative medication 4.Contraindication for neuraxial block 5. Patients with difficult airway with impending airway obstruction
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To establish a safe regime for high risk geriatric patientsTimepoint: To achieve adequate motor and sensory blockade (Bromage 2) after administration of the regime ( 0.5 ml of Bupivacaine and 25 mcg of Fentanyl intrathecally ) in high risk geriatric patients 1.Time taken to achieve Bromage 2 (which will be recorded as soon as the drug is injected in to the subarachnoid space) | — |
Secondary
| Measure | Time frame |
|---|---|
| Assessment of the effectivity of the regime by estimating the dermatomal level, hemodynamic stability, adverse effects and recovery from the anesthesiaTimepoint: Time taken to achieve Bromage 2 level of blockade and dermatomal level achieved Recording systolic and diastolic blood pressure and oxygen saturation every 5 minutes for first 20 minutes and then every 10 minutes till the end of surgery Identification and documentation of any episode of bradycardia or hypotension (which will be treated with atropine and ephedrine respectively) Post operative episodes of Nausea and vomiting | — |
Countries
India
Contacts
Public ContactPratiksha Sutar
Outcome results
None listed