Health Condition 1: M259- Joint disorder, unspecified
Conditions
Interventions
Intervention1: Bilateral ESP Block with Dexmedetomidine: Patients will receive Erector Spinae Block with 0.375% ropivacaine & dexmedetomidine 0.8 mcg/kg ( maximum 50 mcg) combined to total volume of 4
Sponsors
Institute of Neurosciences Kolkata
Eligibility
Inclusion criteria
Inclusion criteria: Aged 18–65 years ASA grade I, II Either gender BMI Surgical procedure: spinal instrumentation surgeries involving the dorso-lumbar spine (D10-S1) Duration of surgery: up to 4 hours
Exclusion criteria
Exclusion criteria: Patient refusal ASA Grade III/ IV Surgeries: Scoliosis correction surgery Spinal instrumentation surgery planned under intraoperative neuro-monitoring Revision spine surgery Duration of surgery >4 hours, Patients with hypersensitivity to any of the drugs in use History of congestive heart failure/ valvular heart disease/ IHD/ cardiac conduction block/ renal dysfunction/ hepatic disease/ pulmonary disease/ neuropsychiatric disorders/ coagulation abnormality Puncture site infection History of chronic pain or central neuropathy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Assessment of duration of analgesia using VAS pain scoreTimepoint: 0 hr 2 hr 4 hr 8 hr 12 hr 24 hr | — |
Secondary
| Measure | Time frame |
|---|---|
| Total intraoperative and postoperative opioid consumptionTimepoint: 24 hr;Intraoperative haemodynamic stabilityTimepoint: 10 min 20 min 30 min 1 hr 1.5 hr 2 hr 2.5 hr 3 hr 3.5 hr 4 hr;First request of rescue analgesicTimepoint: Anytime in first 24 hr;Occurrence of PONV in postoperative periodTimepoint: Anytime in first 24 hr | — |
Countries
India
Contacts
Public ContactDr Kallol Deb
Institute of Neurosciences Kolkata
Outcome results
None listed