Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 18-65 years of age of either sex, ASA I or II, scheduled for orthopedic lower limb surgeries for like Total knee replacement, Arthroscopy, Open reduction internal fixation for lower limb fractures etc., duration of surgery = 4hours.
Exclusion criteria
Exclusion criteria: Patient refusal, local site infection, pregnancy, mental illness, chronic liver and renal diseases, deranged coagulation profile, history of scorpion bite
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. To compare the duration of postoperative analgesia (defined as the time to first request for rescue analgesia) between the group receiving 50 mg intrathecal magnesium sulfate with a combination of 0.5% hyperbaric levobupivacaine and fentanyl and the control group receiving only the combination of 0.5% hyperbaric levobupivacaine and fentanyl. 2. To evaluate the time to achieve adequate sensory and motor block (onset time) following spinal anesthesia in both the magnesium sulfate and the control group.Timepoint: After subarachnoid block Baseline 2 min 4 min 6 min 8 min 10 min 12 min 14 min 16 min 18 min 20 min 35 min 50 min 65 min 80 min 95 min 110 min 125 min 185 min 245 min Post Operative Monitoring Baseline 30min 1 hr 2 hr 4 hr 8 hr 12 hr 18 hr 24 hr | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To assess postoperative rescue analgesic requirements in both groups. 2. To compare hemodynamic stability between the groups throughout the perioperative period. 3. To assess the incidence of side effects like hypotension, pruritis, shivering, nausea and vomiting.Timepoint: After subarachnoid block Baseline 2 min 4 min 6 min 8 min 10 min 12 min 14 min 16 min 18 min 20 min 35 min 50 min 65 min 80 min 95 min 110 min 125 min 185 min 245 min Post Operative Monitoring Baseline 30min 1 hr 2 hr 4 hr 8 hr 12 hr 18 hr 24 hr | — |
Countries
India
Contacts
All India Institute Of Medical Sciences, Bhopal