Health Condition 1: K928- Other specified diseases of the digestive system
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -Patients posted for anorectal surgeries. -Ability to understand protocol and able to provide voluntary written consent. -ASA category I and II. -BMI -Height 150-170cms.
Exclusion criteria
Exclusion criteria: -Uncontrolled psychiatric disorders. -Uncontrolled medical illnesses like uncontrolled diabetes mellitus, uncontrolled hypertension, ischemic heart disease and chronic kidney disease. -Any contraindication to clonidine i.e. bradycardia. -Any contraindication to spinal anesthesia like patient refusal, infection at lumbar puncture site, coagulopathies or patients who are on anticoagulants. -Allergic to local anaesthetics. -Pregnant and lactating mothers.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the efficacy of clonidine and fentanyl as adjuvants to hyperbaric 0.5% bupivacaine on prevention of rebound pain in anorectal surgeries under saddle block.Timepoint: Starting from spinal anaesthesia till 48hours after completion of surgery. | — |
Secondary
| Measure | Time frame |
|---|---|
| -To evaluate the post operative pain scores (NRS) for the first 48 hours after surgery after the administration of intrathecal adjuvants such as clonidine and fentanyl in patients undergoing anorectal surgery under saddle block . -To assess the time taken for first rescue analgesic. -To assess the total dose of rescue analgesic requirement for 48 hours post surgery. -To assess the incidence of side effects between the groups receiving hyperbaric bupivacaine alone and in combination with fentanyl and clonidine.Timepoint: Starting from spinal anaesthesia till 48hours after completion of surgery. | — |
Countries
India
Contacts
JSS ACADEMY OF HIGHER EDUCATION AND RESEARCH