Health Condition 1: K87- Disorders of gallbladder, biliarytract and pancreas in diseases classified elsewhere Health Condition 2: K566- Other and unspecified intestinal obstruction Health Condition 3: K420- Umbilical hernia with obstruction,without gangrene
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ASA grade I & II patients (age – 18 to 70 years) undergoing midline laparotomies Patients who can understand and provide a valid consent for the procedure and can understand and are willing to report the pain using NRS score.
Exclusion criteria
Exclusion criteria: Patients not willing to give consent Patients undergoing re-do surgeries Patients with known allergy to study drug Patients with psychiatric disorders Patients who have had pre-operative opioid consumption Patients on chronic pain medication Severe cardiac or pulmonary dysfunction
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the time to the first demand of rescue analgesia (NRS score more than or equal to 4) in long-axis versus conventional rectus abdominis sheath blockTimepoint: Within first 24 hours post extubation after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare intra-operative opioid requirement To compare the NRS score at 1 hour, 3 hours, 6 hours, 12 hours, 18 hours & 24 hours post extubation after the surgery To compare the mean NRS in 24 hours To compare the total dose of rescue tramadol required in the first 24 hrs To compare the patient satisfaction score To compare the complicationsTimepoint: Total intra-operative opioid requirement by the end of surgery. NRS score at 1 hour, 3 hours, 6 hours, 12 hours, 18 hours & 24 hours post extubation after the surgery. Other parameters by first 24 hours post extubation after surgery | — |
Countries
India
Contacts
All India Institute of Medical Science Bhubaneswar