Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Thoracic Epidural Analgesia: To determine the post operative pain relief by Post operative numeric pain rating scores according to VAS assessed at specified time e.g. just after extubat
Sponsors
Department of Anaesthesiology IPGME&R,Kolkata
Eligibility
Inclusion criteria
Inclusion criteria: 1.ASA physical status I,II,III 2.Age 20yrs to 60 yrs 3.Any gender 4.Dermatomal level of surgical incision and drain sites: a)upper abdominal surgical incisions where the lower end was at or above the thoracic T10 dermatome will be be included. b)The incisions included extended subcostal incision, transverse incision, chevron (rooftop) incision up to anterior axillary line.
Exclusion criteria
Exclusion criteria: 1.Excluded patients with a history of relevant drug allergy or chronic pain. 2.Lower end of the incision extended below T10 or extended laterally beyond the anterior axillary line. 3.Patient with cardiac, renal,hepatic,respiratory,coagulation dysfunction. 4.Age less than 20 years and more than 60 years of age. 5.Patient having infection at the site of procedure ,psychological disorder. 6.Patient with chronic use of pain medication. 7.Patient having BMI more than 30. 8.Non consenting patients. 9.History of previous surgery in the same dermatomal level.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain scores : Numeric pain rating scores according to VAS assessed at specified time points postoperatively.In case of breakthrough pain or demand dose of rescue analgesic, the particular time point and VAS score will be noted separately.Timepoint: Just after extubation, every one hourly for first 4 hr, every 2 hourly for 6 hrs, then 4 hourly till 24 hrs, then 12 hourly till first 72 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Opioid consumption : Total consumption(injection Fentanyl 50 mcg iv bolus as rescue analgesic) within first 24 hours post surgery. 2.Haemodynamic variables assessed at specified time points postoperatively. 3.Incidence of adverse events :Any complications or adverse reactions related to the anaesthesia technique or surgery(e.g. hypotension ,bradycardia, respiratory depression, local anaesthetic toxicity, hematoma). 4.Patient reported satisfaction scores:Subjective assessment of overall satisfaction with postoperative pain management using a standardised satisfaction questionnaire(e.g.Likert scale).Timepoint: just after extubation ,every one hourly for first 4 hr, every 2 hourly for 6 hr, then 4 hourly till 24 hrs, then 12 hourly till 1st 72 hours. | — |
Countries
India
Contacts
Public ContactDR TAPAS GHOSE
Institute of Post Graduate Medical Education and Research
Outcome results
None listed