Health Condition 1: 1- Obstetrics
Conditions
Interventions
Intervention1: Midline/Median approach spinal anaesthesia: Group M will receive 0.5% Hyperbaric Bupivacaine 2.5 ml (5mg/ml) with Fentanyl 30 µg as an
adjuvant through Median technique spinal anesthesi
Sponsors
Office of the Principal Midnapore Medical College and Hospital
Eligibility
Inclusion criteria
Inclusion criteria: 1. Pregnant Patients with ASA grade II. 2. Age group between 18-45 years of age. 3. Patients with height between 150 to 180 cm and body weight between 50 to 80 kg, BMI between 18 to 24.9 kg/m2 4. Cases undergoing caesarean section delivery under spinal anesthesia. 5. Duration of caesarean section surgeries within 90 minutes
Exclusion criteria
Exclusion criteria: 1. Refusal of the patient to give consent. 2. Local infection at the site of injection. 3. Bloody prick. 4. Having previous H/O-Backache. 5. Patient needed conversion to general anaesthesia after giving subarachnoid block. 6. History of allergy or hypersensitivity to spinal drugs. 7. Patients with any neuropathy or neurological disorder. 8. Not more than 02(Two) attempts of spinal anesthesia. 9. Psychiatric disorder. 10. Any patient with cardio respiratory disorder. 11. Any patient with hepato-renal disorder. 12. Any patient with endocrine disorder.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare incidences of newly developed low back pain amongst the obstetric patients who had undergone spinal anesthesia for their caesarean section deliveries with median versus paramedian approach and with the same 25 Gauze Quincke tip edges.Timepoint: 2 hours, 4 hours, 10 hours, 14 hours, 18 hours, 22 hours, 24 hours and 48 hours after surgery and at 7 days before discharge and on day 30 via telephonic conversation | — |
Secondary
| Measure | Time frame |
|---|---|
| The degree of pain in Visual Analogue Scale (VAS).Timepoint: 2 hours, 4 hours, 10 hours, 14 hours, 18 hours, 22 hours, 24 hours and 48 hours after surgery and at 7 days before discharge and on day 30 via telephonic conversation;The post dural puncture headache associated with spinal anesthesia.Timepoint: 2 hours, 4 hours, 10 hours, 14 hours, 18 hours, 22 hours, 24 hours and 48 hours after surgery and at 7 days before discharge and on day 30 via telephonic conversation;The time span to start of newly developed low back pain from spinal anaesthesia needle insertion technique and also its recovery.Timepoint: 2 hours, 4 hours, 10 hours, 14 hours, 18 hours, 22 hours, 24 hours and 48 hours after surgery and at 7 days before discharge and on day 30 via telephonic conversation;To monitor and compare the hemodynamic effects in terms of post operative systolic blood pressure (SBP), diastolic blood pressure (DBP), mean blood pressure, heart rate including the effects of spinal anaesthesia surge on the cardiovascular system.Timepoint: 2 hours, 4 hours, 10 hours, 14 hours, 18 hours, 22 hours, 24 hours and 48 hours after surgery;To monitor and compare the post-operative complications like post operative surgical site infection, any other adverse reactions, incidence of any residual paralysis or complete lower limb paralysis after giving spinal anaesthesia.Timepoint: 2 hours, 4 hours, 10 hours, 14 hours, 18 hours, 22 hours, 24 hours and 48 hours after surgery and at 7 days before discharge and on day 30 via telephonic conversation | — |
Countries
India
Contacts
Public ContactAsim Kumar Maiti
Midnapore Medical College and Hospital
Outcome results
None listed