Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: sub arachnoid block with general anesthesia in robotic hernia surgeries: sub arachnoid block with general anesthesia in robotic hernia surgeries using buprenorphine 150 mcg and bupivaca
Sponsors
Nil
Eligibility
Inclusion criteria
Inclusion criteria: Patients in the age group of 18 to 70 years of age Non pregnant females ASA I , II patients Normal coagulation profile of patients - platelet count, Prothrombin time and International Normalised ratio Patients posted for robotic- assisted laparoscopic hernia surgeries
Exclusion criteria
Exclusion criteria: Contraindication to spinal anaesthetic: Allergy to local anesthetics Abnormal curvature of spine- thoracolumbar kyphosis, scoliosis’ History of coagulation disorders History of anticoagulant drug consumption History of neuromuscular disorder - poliomyelitis, spinal muscular atrophies, multiple sclerosis Infection at the site of spinal anaesthesia - L3 - L4 intervertebral space Contraindication to buprenorphine: Allergic reaction to buprenorphine On opioid medication Patients with history of COPD 4. Patients refusing to give consent to participate in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the efficacy of combined spinal- general anaesthesia and general anaesthesia alone in robotic assisted laparoscopic hernia repair surgeries by assessing 1. magnitude of intraoperative hemodynamic changes - Heart rate, Systolic blood pressure, diastolic blood pressure, Mean arterial blood pressure 2. pain assessment using VAS score at 1h, 6h, 24h after completion of surgery Timepoint: 1. Hemodynamic monitoring every 5 minutes till 20 minutes; then every 10 minutes till completion of surgery 2. pain assessment 1h, 6h and 24 hours after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare the efficacy of combined spinal- general anaesthesia & general anaesthesia alone in robotic assisted surgeries by assessing 1. total dose of metoprolol required 2.surgeon satisfaction score 3. postoperative analgesia duration i.e. time after completion of surgery to appearance of pain number of times rescue analgesic were administered Timepoint: 1. Hemodynamic monitoring every 5 minutes till 20 minutes; then every 10 minutes till completion of surgery 2. pain assessment 1h, 6h & 24 hours after the surgery | — |
Countries
India
Contacts
Public ContactNandhini Ganesh
Government Medical College, Nagpur
Outcome results
None listed