Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients undergoing Total Knee Replacement surgery under Spinal Anaesthesia. 2. American Society Of Anesthesiologists (ASA) physical status I and II. 3. 18 - 70 years of age of either gender.
Exclusion criteria
Exclusion criteria: 1. Allergy to Buprenorphine 2. Opioid dependency for more than 3 months 3. Alcoholic Liver Disease, Chronic Kidney Disease 4 and 5 4. Pregnant women 5. Malignancy 6. Patient on any anti-depressants (or) anti-convulsant 7. Morbidly Obese (BMI more than 35)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total doses of post-operative rescue analgesia requirement.Timepoint: Up to 72 hours post-operatively. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Pain Score by 11-Point Numerical Rating Scale (NRS) at 8th, 24th, 48th and 72nd hours post-operatively. 2. Sedation Score by Ramsay Sedation Score (RSS) at 8th, 24th, 48th and 72nd hours post-operatively. 3. Incidence of adverse effects like Post-Operative Nausea and Vomiting (PONV), Pruritus, Respiratory Depression and Urinary Retention. 4. Hemodynamic Variations like Mean Arterial Pressure (MAP) and Heart Rate (HR). 5. Quality of Recovery Index is calculated based on 15 questions each carrying 0-10 points totalling up to 0-150 and patients are divided into poor, moderate, good and excellent recovery for 0-89, 90-121, 122-135 and 136-150 respectively at 24th, 48th and 72nd hours.Timepoint: 1. 11-Point Numerical Rating Scale and Ramsay Sedation Scale score at 8th, 24th, 48th and 72nd hour. 2. Quality of Recovery Index at 24th, 48th and 72nd hours. | — |
Countries
India
Contacts
Kalinga Institute of Medical Sciences