Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Pre-incisional Ultrasound guided Transversus Abdominis Plane block 0.5% Bupivacaine with Dexmedtomidine: Transversus abdominis plane block with 0.5% Bupivacaine (2mg/kg) with Dexmeditom
Sponsors
NIL
Eligibility
Inclusion criteria
Inclusion criteria: -Patients of either sex, with ASA physical status grade I, II and III. -Patients scheduled to undergo abdominal surgeries with incisions from or below T8 dermatomal level
Exclusion criteria
Exclusion criteria: 1.Patients who are not willing to participate in the study. 2.Patients with history of hypersensitivity to study drugs. 3.Patients with morbid obesity (BMI more than 35 kg/m2). 4.Patients with previous abdominal surgeries. 5.Patients with hepatic, renal, cardiac and seizure disorders. 6.Pregnant and lactating women. 7.Patients who cannot understand or interpret VAS for pain assessment. 8.Patients who could not be extubated on table.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the total morphine consumption in both groups in the first 24hours following surgeryTimepoint: Total morphine dosage requirement according to VAS score will be noted as per patient requirement within 24 hours of post operative period | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.To determine the effect of preemptive analgesia on the hemodynamic response to surgical incision in both groups 2.To assess magnitude of pain by Visual analogue scale at different time points 3.To assess the time for first request of rescue analgesia 4.To assess the time after which patient can do deep breathing exercises with the help of incentive spirometry 5.To assess the overall patients satisfaction score by Visual analogue scale at the time of discharge from Post anaesthesia care unit. Timepoint: 1. Hemodynamic response (HR, SBP, DBP, MAP) pre incision(T0), Immediately after surgical incision T1 & at 1min(T2), 2min(T3), 3min(T4) after surgical incision. 2. VAS score 0,15,30,45 minutes & 1,2,4,6,24 hours after surgery 3. The time at which first request of rescue analgesia is noted in post operative period 4. Time after which patient can do incentive spirometry is noted 5. overall patients satisfaction score noted by Visual analogue scale at the time of discharge from PACU. | — |
Countries
India
Contacts
Public ContactDr Peyyety Janaki Subhadra
Sri Venkateshwara Institute of Medical Sciences
Outcome results
None listed