Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Drug - Local Anaesthetic: 0.75% hyperbaric Ropivacaine
volume 2.5 ml, single dose, intrathecal administration, single time intervention at the time of the surgery.
Control Intervention
Sponsors
nil
Eligibility
Inclusion criteria
Inclusion criteria: 1.Patients aged 60 years and above who have been assessed fit for TURP surgery under ASA II and ASA III 2.Patients with an Edmonton Frail Scale (EFS) score greater than 6, indicating frailty and vulnerable frailty. 3.Patients who provide informed written consent to participate in the study.
Exclusion criteria
Exclusion criteria: 1.Patients with contraindications to spinal anesthesia, such as allergy to local anesthetics or coagulopathy. 2.Patients with severe cognitive impairment or inability to provide informed consent. 3.Patients with unstable cardiovascular conditions, including recent myocardial infarction, or severe heart failure. 4.Patients with a history of chronic pain management requiring opioid therapy. 5.Patients with a known neurological disorder affecting spinal cord function.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| TO assess the intra op hemodynamic stabilityTimepoint: every 2 mins for the first 20 mins and followed by every 20 mins until the end of surgery. | — |
Secondary
| Measure | Time frame |
|---|---|
| time to attain more than 9 score in modified bromage scaleTimepoint: every 10 minutes from end of surgery.;time to attain PADDS score more than 9Timepoint: Every 10 minutes from end of surgery;length of hospital stay in daysTimepoint: every day from end of surgery;postoperative complications like delerium and cognitive dysfunctionTimepoint: every 6th hourly till discharge | — |
Countries
India
Contacts
Public ContactMirunaliniG
srm medical college hospital and research centre
Outcome results
None listed