Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ASA class I and II , scheduled For Elective Laparoscopic Gynecological surgeries like Hysterectomy, Adnexectomy, Myoma enucleation, Diagnostic laparoscopy etc
Exclusion criteria
Exclusion criteria: Non consenting patient, Malignant surgeries, BMI More Than 30 Kilogram Per Metre Square, Pregnant and Breastfeeding patients, history of chronic pain on analgesics and sedatives, significant or major comorbidities such as congestive heart failure, myocardial infarction in the past 6 months, heart block, fixed cardiac output lesions, chronic liver or kidney illnesses, and chronic use of opioids or opioid addiction, steroids, allergy to any medication, previous treatment with anti-platelet agents, antihypertensive medication with clonidine or other beta 2 adrenergic agonist, and inability to comprehend postoperatively the pain assessment scale and sedation scale.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.To compare the duration of post operative analgesia(defined as the time to first request for rescue analgesia following extubation, when VAS is more than four between the group receiving Dexmedetomidine 1 mcg/kg over 10 min before anesthesia induction followed by infusion at 0.3 mcg/kg/min after anesthesia induction and the group receiving 2% Lidocaine hydrochloride 1.5 mg/kg over 10 min before anesthesia induction followed by infusion at 1.5mg/kg/h after anesthesia induction 2.To evaluate the cumulative postoperative rescue analgesic consumption within the first 24 hours, after extubation.Timepoint: At Extubation 15 min 30 min 1 hr 2 hr 3 hr 4 hr 8 hr 12hr 24h | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Total intraoperative Inj. Fentanyl consumption in both the groups. 2.VAS scores measured at predefined intervals 3.Sedation levels measured using the Ramsay Sedation Score at predefined intervals 4.Intraoperative Hemodynamic instability requiring interventions for bradycardia, hypotension and frequency of post operative side effects like PONV, shivering, bowel functionTimepoint: 15min 30 min 1 hr 2 hr 3 hr 4 hr 8 hr 12 hr, 24 hr post-extubation | — |
Countries
India
Contacts
All India Institute Of Medical Sciences, Bhopal