Health Condition 1: O00-O9A- Pregnancy, childbirth and the puerperium
Conditions
Interventions
Intervention1: Post-operative analgesic efficacy of intravenous dexamethasone: Post-operative analgesic efficacy of two doses of intravenous dexamethasone i.e. 4mg and 8mg at 0, 2, 4, 8, 12, 16 and 24
Sponsors
Shree Krishna hospital
Eligibility
Inclusion criteria
Inclusion criteria: 1.Patients undergoing lower Segment caesarean section under spinal anaesthesia. 2.All patients with fasting period of 6 hours to solids and 2 hours to liquids 3.American Society of Anesthesiologists Physical Status grade II
Exclusion criteria
Exclusion criteria: 1.High risk pregnancy â?? Eclampsia, Preeclampsia, Abruption placenta, Placenta Previa, Cord prolapse, Pregnancy with medical disordered (Diabetes mellitus, Cardiac disease, Thyroid disease) 2.Multiple gestations 3.Caesarean with fetal distress 4.Absolute contraindication to spinal anaesthesia 5.Patients on steroid therapy or past history of medication with steroids in last 1 year 6.Diabetic patient with HbA1c of more than 8 7.Obese patient with BMI > 40 8.Intraoperative blood loss of more than 20% 9.Pre-operative hemoglobin level less than 8 mg/dl 10.Patients with Raised CRP and total leucocyte counts 11.Allergy to local anaesthetic drug 12.Severe spinal deformity
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| ï?¶To evaluate post-operative analgesic efficacy of two doses of intravenous dexamethasone i.e. 4mg and 8mg at 0, 2, 4, 8, 12, 16 and 24 hours by using numeric rating scale(NRS)Timepoint: After completion of Spinal anaesthesia till 24 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Duration of analgesia. 2.Incidence of nausea, vomiting intraoperative and post-operative 3.Incidence of shivering intraoperative and post-operative Timepoint: post-operative till 24 hours. | — |
Countries
India
Contacts
Public ContactDr Parthkumar Kishankumar Sarvaiya
Shree Pramukhswami Medical College
Outcome results
None listed