Health Condition 1: G55- Nerve root and plexus compressionsin diseases classified elsewhere
Conditions
Interventions
Intervention1: Intrathecal Morphine: 0.2 mg of morphine is given intrathecaly before surgery.
Control Intervention1: Erector spinae plane block: 40ml of 0.25% of bupivacaine is given under ultrasound
Sponsors
Velammal medical college hospital and research institute
Eligibility
Inclusion criteria
Inclusion criteria: ASA 1 & 2 patients scheduled to undergo elective lumbar spine surgery
Exclusion criteria
Exclusion criteria: 1.Patient refusal. 2.Allergy to any of the study drugs. 3.Contraindications to regional technique e.g.,infection around site of block ,any coagulation disorder, sepsis. 4.History of analgesic dependence (long term use) and opiate tolerance. 5.Contraindications to intrathecal morphine e.g.,local infection in intrathecal administration site. 6.More than two level of vertebrae involving in surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.VAS Score. 2.Postoperative analgesia use paracetamol/tramadol usage.Timepoint: 1.At the time of arrival in post-anesthesia care unit and then at 30 minutes, 1, 2, 4, 6, 12,24 and 48 hours. after operation. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Time to first analgesic requirement after surgery. 2.Incidence of intervention related side effects in both the groups(Post-operative nausea/vomiting, respiratory depression, pruritus, urinary retention, local anesthetic systemic toxicity,local hematoma ). 3.Hemodynamic response to surgical stimulus during the procedure(HR,SPO2,NIBP at baseline ,post intubation,proning,30 min,1 hr into surgery).Timepoint: 1.At the time of arrival in post-anesthesia care unit and then at 30 minutes, 1, 2, 4, 6, 12,24 and 48 hours after operation. | — |
Countries
India
Contacts
Public ContactArfan ahmed J S
Velammal medical college hospital and research institute
Outcome results
None listed