Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Posted for lumbar spine fixation surgeries 2. 2 or 3 level lower lumbar spine (L3-L4/L4-L5) surgery by posterior approach 3. ASA Grade 1 and 2 patients 4. Age between 18-60 years of either sex 5. Patients with BMI between20-30
Exclusion criteria
Exclusion criteria: 1. Uncooperative patients or refusal. 2. ASA Grade 3 or above 3. Duration of surgery more than 2 hours 4. Cardiac and neurological diseases. 5. Uncontrolled Diabetes and Hypertension. 6. Chronic Obstructive Pulmonary Disease and Bronchial Asthma. 7. Bleeding disorder 8. On psychiatric medication. 9. Known allergy to the drug used. 10. Epilepsy. 11. Any kind of preexisting neuropathy. 12. Alcoholism. 13. Chronic opioid use (Defined as daily and almost daily use of opioids for more than 3 months).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the duration of post-operative analgesia.(timing of first rescue analgesic) 2) Grade of sensory block through touch and pin prick method. 3) Motor function of leg will be evaluated with a Bromage (0-3) score. Timepoint: JUNE 2023 TO JUNE 2024 | — |
Secondary
| Measure | Time frame |
|---|---|
| i) Intraoperative haemodynamics with respect to changes in HR and MAP. ii) Intraoperative bleeding using Boezzart’s scale iii) Intraoperative surgeons’ satisfaction using Likert scale iv) Postoperative analgesic consumption in first 24 hr v) Frequency of postoperative analgesic administration. Timepoint: JUNE 2023 TO JUNE 2024 | — |
Countries
India
Contacts
R. G. KAR MEDICAL COLLEGE AND HOSPITAL