Health Condition 1: M511- Thoracic, thoracolumbar and lumbosacral intervertebral disc disorders with radiculopathy Health Condition 2: M511- Thoracic, thoracolumbar and lumbosacral intervertebral disc disorders with radiculopathy
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Patients undergoing elective lumbo-sacral spine surgeries. 2) ASA grade I + II + III 3) Age 18 years to 70 years.
Exclusion criteria
Exclusion criteria: 1) Patient refusal to participate in the study 2) Known hypersensitivity to local anaesthetic and opioids. 3) Infection at the site of block. 4) Anticoagulation therapy. 5) Bleeding diathesis and coagulopathies. 6) Pregnancy. 7) Unable to understand numerical rating scale (NRS) for pain assessment and function of patient-controlled analgesia (PCA) pump 8) History of renal, hepatic, cardiac and neurological diseases
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total postoperative fentanyl requirement at 24hoursTimepoint: At the end of 24 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Intraoperative hemodynamic parameters (HR, BP, Sp02). 2) Intra-operative fentanyl consumption. 3) Adverse events during and after surgery related to the intervention. 4) Time to first analgesic bolus requirement & number of patients not requiring it. 5) NRS scores in postoperative period at specified time intervals at rest and on movement. 6) Patient satisfaction regarding analgesia at the end of 24 hours. 7) Quality of sleep on the first night following surgery. 8) QoR 15 ( Quality of recovery ) inventory to be filled as per patients satisfaction.Timepoint: 1) Every 15mins during the intraoperative period. 2) At the end of surgery. 3) Noted during intraoperative period and during the postoperative period, at 0mins, 30mins, 2hrs, 4hhrs, 8hrs, 24hrs. 4) As per requirement within 24hrs. 5) At 0 mins, 30mins, 2hrs, 4hrs, 8hrs, 24hrs. 6) At the end of 24hrs. 7) At the end of 24hrs. 8) At the end of 24hrs. | — |
Countries
India
Contacts
AIIMS, New Delhi