Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Subarachnoid Block(Spinal Anaesthesia) using 0.5% Hyperbaric levobupivacaine for Endoscopic Urological surgeries: Subarachnoid Block(Spinal Anaesthesia) using 2.5 ml of 0.5% Hyperbaric
Sponsors
Department of Anaesthesiology
Eligibility
Inclusion criteria
Inclusion criteria: American Society of Anaesthesiologists (ASA) physical status grade 1 and 2 scheduled for Endoscopic Urological Surgeries
Exclusion criteria
Exclusion criteria: 1.Any contraindication to neuraxial anaesthesia 2.Patients allergic to the drugs being studied 3.Patients with obvious spinal deformities and with signs of raised intracranial pressure 4.Patients with coagulopathy, bleeding disorders, platelet dysfunction 5.Pregnancy 6.Morbid obesity(BMI >40)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the duration of motor blockade after spinal anaesthesia with Hyperbaric Levobupivacaine Hyperbaric ropivacaine and Hyperbaric Bupivacaine for Endoscopic Urological surgeriesTimepoint: 2 hours after onset of motor block defined as modified bromage scale of 3 and 15 minutes thereafter till modified bromage scale 0 | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of analgesiaTimepoint: Time of first requirement of rescue analgesic if needed after injection of study drug.;Duration of sensory blockadeTimepoint: Time interval between onset of sensory block to regression of block to L1 dermatome;Incidence of hypotension & bradycardiaTimepoint: Baseline vitals & that following injection of the drug intrathecally will be assessed every 3 minutes for the first 15 minutes and 5 minutes thereafter.;Peak level of blockTimepoint: Maximum level(peak) of sensory block will be noted (Sensory level after 20 minutes post injection of study drug into subarachnoid space);Time of onset of motor blockadeTimepoint: Defined as time taken to reach Modified Bromage score of 3 after deposition of study drug. Modified Bromage Scale 0:No motor block 1:Inability to raise extended leg; able to move knees & feet 2:Inability to raise extended leg and move knee; able to move feet 3:Complete block of motor limb ;Time of onset of sensory blockadeTimepoint: Time from injection of study drug to obtaining T10 dermatomal level. The level of sensory block will be assessed with a sterile pin prick every 2 minutes till level of T10 reached | — |
Countries
India
Contacts
Public ContactDr Athyanth M
St. Johns Medical College and Hospital
Outcome results
None listed