Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Control Intervention1: Ropivacaine: Group R(ropivacaine group)Patients will receive 39.5ml of 0.25% Ropivacaine + 0.5ml normal saline.
Control Intervention2: Ropivacaine & Dexmedetomidine: Group RD (r
Sponsors
Dr S N MEDICAL COLLEGE
Eligibility
Inclusion criteria
Inclusion criteria: The patients of age 18-65 yrs of either gender of ASA category I and II undergoing laparoscopic cholecystectomy surgery under general anaesthesia who are hemodynamically stable and declared fit in pre anaesthetic check-up.
Exclusion criteria
Exclusion criteria: Patients of -ASA category III & IV, with significant neurological , psychiatric, neuromuscular, cardiovascular, pulmonary, renal or hepatic disease or having any anatomical abnormality, with history of any other biliary tract surgery, having any infections or pre existing wound at the site of injection, already a diagnosed case of chronic pain syndrome or on any prolonged opioid therapy, having any coagulopathy. Patientââ?¬•s refusal, or any history of lower abdominal surgery (adhesions). Patientsââ?¬• with history of any known or present psychiatric illness as the pain score cannot be assessed properly and with known neurological deficits. Patients with history of allergy to the given medication. Patients who are intubated and on mechanical ventilation, or with severe traumatic brain/spinal cord injury or in shock. Surgeries who started as laparoscopic and then converted to open surgeries intra operatively or surgical time limit of laparoscopy exceeded 90minutes will be exempted from study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare quality of analgesia by Numerical Rating Scale (NRS) pain score and total opioid consumption during first 24 hours after LC.Timepoint: To compare quality of analgesia by Numerical Rating Scale (NRS) pain score and total opioid consumption during first 24 hours after LC. | — |
Secondary
| Measure | Time frame |
|---|---|
| The following parameters will be compared between two groups: a) Duration of analgesia (time for request of first rescue analgesia after surgery). b)Inspiratory Capacity (IC) preoperative and postoperative patients. c) Patient satisfaction score of both the techniques by Likerts scale. d) Cumulative dose of rescue analgesia in 24 hours. e) Sedation in both the groups (Ramsay Sedation Score). e) Post operative nausea vomiting(PONV) and requirement of additional antiemetics. f) Hemodynamic parameters(Heart rate, Mean arterial Blood pressure, Oxygen saturation, Respiratory rate). g) Any complications/ side effect of block and drug.Timepoint: 24hours | — |
Countries
India
Contacts
Public ContactDr ML TAK
Dr SN MEDICAL COLLEGE
Outcome results
None listed