Health Condition 1: K800- Calculus of gallbladder with acutecholecystitis Health Condition 2: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients undergoing elective unilateral laparoscopic cholecystectomy surgery Agrees to participate in research Age 18 - 65 years BMI 25 - 35 kg/ m2
Exclusion criteria
Exclusion criteria: Patient refusal Failure to comprehend visual analogue scale Contraindications to intervention procedure (ESP block) History of local anaesthetic allergy Cardiovascular, respiratory, neurological or metabolic diseases, severe coagulopathy History of chronic analgesic use Failure of intervention procedures (ESP block) History of alcohol and substance addiction Known psychiatric disorders or use of psychiatric medications
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| clonidine and dexmedetomidine added as adjuvants to ropivacaine for ultrasound guided erector spinae plane block in laparoscopic cholecystectomy patients, prolong the duration of analgesia and improve patient comfort.Timepoint: 24 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| Comparison of efficacy of clonidine and dexmedetomidine as adjuvants to 0.25% ropivacaine Total dose of fentanyl consumption in the postoperative period Comparison of intraoperative fentanyl required to suppress pain response Comparison of time to first rescue analgesia (use of PCA) Reduction in opioid related side effects such as nausea, vomiting, sedation Comparison of side effects related to adjuvants like hypotension, bradycardia and sedation Comparison of intraoperative hemodynamics between the groups Timepoint: 24 hours | — |
Countries
India
Contacts
Institute of liver and biliary sciences