Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patient scheduled for major abdominal cancer surgeries 2. ASA grade I-III women 3. Age group 18 -70 years 4. BMI = 35
Exclusion criteria
Exclusion criteria: 1. Infection at epidural site 2. History of coagulopathy 3. Severely hypovolemic patients 4. Raised ICP 5. Sepsis 6. Refusal for epidural analgesia 7. Pre-existing neurological deficit or demyelinating disorders 8. Severe spinal deformity 9. Known allergy to local anaesthetics or fentanyl or dexmedetomedine 10. Chronic pain or long term opiods or NSAIDS usage 11. Those who have coexisting cardio-respiratory disease e.g. ventricular dysfunction or history of AV Block /bradyarrythmias 12. Catheter removal unintentionally 13. Asymmetric or unilateral block requiring catheter manipulation 14. Patient not extubated and transferred to ICU 15. Surgery with blood loss more than 30%
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. To compare the efficacy and duration of post operative epidural analgesia between the two groups using VAS score at rest and movement 2. To compare cumulative consumption of rescue analgesia between the two groupsTimepoint: 48 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare time to first rescue analgesia requirement between the two groupsTimepoint: 48 hours;To compare incidence of such as bradycardia, hypotension and sedation, post-operative ileus and nausea & vomiting between two groupsTimepoint: 48 hours | — |
Countries
India
Contacts
Indira Gandhi Medical college, shimla