Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ASA Grade I,II Weight between 50-90 kgs Surgeries under spinal anesthesia in lower limb Height more than 150 cm
Exclusion criteria
Exclusion criteria: Patients refusing for Spinal Anaesthesia Patients with coagulopathy, severe anaemia or patients on anticoagulant therapy Patient with uncontrolled coexisting systemic or metabolic disease Patients with history of labile hypertension, heart blocks (heart rate less than 50/min), dysarrhythmias. Patients on a2 adrenergic agonists and beta blockers. History of hypersensitivity reaction to local anaesthetic drug or adjuvant drug (levobupivacaine or dexmedetomidine) Patient having neurological disorder and psychiatric disorder. Patient with spine tumors, spine deformity and spinal trauma Pregnant patient Patient having risk of developing sepsis and bacterial wound infection at the site of spinal injection.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the efficacy and safety of different doses of intrathecal dexmedetomidine as an adjuvant to hyperbaric levobupivacaine for duration of effective analgesia in lower limb surgeries. Timepoint: Duration of analgesia will be taken as time from administration of subarachnoid injection to patients complaint of pain at surgical site with VAS score more than 3 | — |
Secondary
| Measure | Time frame |
|---|---|
| To assess haemodynamics in perioperative period.( heart rate, respiratory rate, blood pressure, oxygen saturation)Timepoint: T0- 3min T1-6min T2- 9min T3- 12min T4-15min T5-30 min T6-45min T7-60 min T8-75 min T9-90 min T10-105 min T11-120 min T12-135 min T13-150 min T14-165 min T15-180 min T16-195 min T17- 210 min T18- 225 min;To compare onset, duration and recovery of sensory and motor nerve blockade in all 3 groups. Timepoint: T0- 15min T1- 30 min T2-45 min T3-60 min;To monitor and treat the complications in perioperative period if any.Timepoint: during perioperative period | — |
Countries
India
Contacts
Adesh Institute of Medical sciences and Research(AIMSR), Bathinda