Health Condition 1: K928- Other specified diseases of the digestive system
Conditions
Interventions
Intervention1: Epidural catheter and analgesia intra and postoperatively: A low thoracic epidural catheter will be inserted prior to anaesthesia. Intraoperative epidural analgesia with opiod or local
Sponsors
Amrita Institute of Medical Sciences
Eligibility
Inclusion criteria
Inclusion criteria: Elective surgical patients presenting for laparoscopic surgery
Exclusion criteria
Exclusion criteria: 1. Obesity BMI >=35 kg/m2 2. Patients with chronic respiratory disease, COPD Gold class > 3, ILD or asthma. 3. Neuromuscular disorders / chest wall deformities. 4. Patients not extubated on table. 5. On chronic pain medications
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reduction in FVC % from preoperative value at 12 h after surgery between patients who received epidural analgesia versus standard care.Timepoint: 12 h after shift to ICU( during respiratory excercise therapy) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.% reduction ofFEV1 2. % reduction of PEFR 3. Occurence of post operative pulmonary complications 4.Postoperative pain by VAS and NRS Timepoint: 1. 12 h in ICU 2. 12 h in ICU 3. ICU stay 4. Before, start and end of ambulation | — |
Countries
India
Contacts
Public ContactRiya Roy Perumala
Amrita Institute of Medical Sciences
Outcome results
None listed