Health Condition 1: O82- Encounter for cesarean delivery without indication
Conditions
Interventions
Intervention1: Inj. Bupivacaine Hydrochloride (0.5 percent) (hyperbaric),
Inj. Buprenorphine Hydrochloride (0.3mg/ml) (preservative free): Intrathecally 10mg [2.0ml] Inj. Bupivacaine Hydrochloride (0
Sponsors
Dr Koushik Baran Roy
Eligibility
Inclusion criteria
Inclusion criteria: Term (more than 37 weeks) pregnant women, Pregnant women (ASA grade II including women with mild PIH and controlled gestational diabetes) posted for elective caesarean section under spinal anaesthesia, Patients willing for elective caesarean section, Those who can give valid informed written consent for participation.
Exclusion criteria
Exclusion criteria: Patients not willing to give consent, Known allergy to amide local anaesthetics and buprenorphine, Patients with contraindications to subarachnoid block, patients with - cardiovascular disease, severe preeclampsia, uncontrolled gestational diabetes, preexisting neurological disease Deformities of spinal column in severe degree, Less than 18 years or more than 35 years of age, ASA grade III and above, Failed spinal anaesthesia, Antepartum haemorrhage, Morbid obese (BMI more than equals to 40)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Duration of postoperative analgesiaTimepoint: From the time of end of surgery till the first demand of rescue analgesic. | — |
Secondary
| Measure | Time frame |
|---|---|
| APGAR Score (Neonatal status)Timepoint: At 1 min,then 5 min after delivery;Visual Analogue Score (Level of pain)Timepoint: Postoperatively every 30 min till 3 hours, then hourly till 6 hours, then 6 hourly thereafter till 24 hours.;Ramsay Sedation Score (Level of sedation)Timepoint: Intraoperatively every 5 min for first 30min, then every 10 min till the end of surgery. Postoperatively every 30 min till 3 hours, then hourly till 6 hours, then every 6 hourly thereafter till 24 hours;Pinprick method (Level of sensory block)Timepoint: Intraoperatively every 5 min for first 30min, then every 10 min till the end of surgery. Postoperatively every 30 min till 3 hours, then hourly till 6 hours, then every 6 hourly thereafter till 24 hours (till 2 segment regression from maximum level);Modified Bromage Score (Level of motor block)Timepoint: Intraoperatively every 5 min for first 30min, then every 10 min till the end of surgery. Postoperatively every 30 min till 3 hours, then hourly till 6 hours, then every 6 hourly thereafter till 24 hours;PruritusTimepoint: From the time of intrathecal injection till 24 hours after surgery.;NauseaTimepoint: From the time of intrathecal injection till 24 hours after surgery.;VomitingTimepoint: From the time of intrathecal injection till 24 hours after surgery.;Total amount of vasopressor requiredTimepoint: From the time of intrathecal injection till 24 hours after surgery.;Total no. of topup rescue analgesic requiredTimepoint: From the time of intrathecal injection till 24 hours after surgery.;ShiveringTimepoint: From the time of intrathecal injection till 24 hours after surgery.;Heart RateTimepoint: Intraoperatively every 5 min for first 30min, then every 10 min till the end of surgery. Postoperatively every 30 min till 3 hours, then hourly till 6 hours, then every 6 hourly thereafter till 24 hours.;Systolic Blood PressureTimepoint: Intraoperatively every 5 min for first 30min, then every 10 min till the end of surgery. Postoperatively ever | — |
Countries
India
Contacts
Public ContactDr Arup Dasgupta
ICARE Institute of Medical Sciences And Research and Dr Bidhan Chandra Roy Hospital
Outcome results
None listed