Health Condition 1: N412- Abscess of prostate Health Condition 2: K600- Acute anal fissure Health Condition 3: K622- Anal prolapse Health Condition 4: N401- Benign prostatic hyperplasia withlower urinary tract symptoms Health Condition 5: N400- Benign prostatic hyperplasia without lower urinary tract symptoms Health Condition 6: K400- Bilateral inguinal hernia, with obstruction, without gangrene Health Condition 7: K402- Bilateral inguinal hernia, withoutobstruction or gangrene Health Condition
Conditions
Interventions
Intervention1: Prophylactic phenylephrine infusion: Patients allocated in group P will receive 50mcg per minute of prophylactic infusion of Phenylephrine starting immediately after subarachnoid bloc
Sponsors
AIIMS , New Delhi
Eligibility
Inclusion criteria
Inclusion criteria: 1.Informed written consent 2.ASA 1,2,3 3.Posted for elective surgery under spinal anesthesia
Exclusion criteria
Exclusion criteria: 1.Patient refusal to participate 2.LVEF 3.Uncontrolled hypertension 4.Allergy to the study drugs 5.CKD 3 or above 6.CLD with fluid retention
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Difference in incidence of hemodynamic instability. Hemodynamic instability defined as either 1 or more of 1. Fall in MAP by more than 20% 2.Fall in SBP below 90mm of Hg 3.Fall in HR below 50/minTimepoint: Entire duration of surgery starting immediately after spinal anaesthesia | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Timing of hemodynamic instability 2.Cardiac output & cardiac index in all patients 3.Incidence of post operative nausea vomiting 4.Incidence of post operative shivering 5.Incidence of side effects of drugs Hypertension , TachycardiaTimepoint: During surgery starting immediately after spinal anaesthesia till 30 min post operatively | — |
Countries
India
Contacts
Public ContactMuskan Agrawal
AIIMS, New Delhi
Outcome results
None listed