Health Condition 1: G55- Nerve root and plexus compressionsin diseases classified elsewhere
Conditions
Interventions
Intervention1: Bilateral ESP block with Ketamine at a dose of 1mg/kg body weight maximum 50mg: Patients will receive Erector spinae block with 0.375% ropivacaine and Ketamine 1mg/kg body weight(maximu
Sponsors
Institute of Neurosciences Kolkata
Eligibility
Inclusion criteria
Inclusion criteria: All lumbo sacral surgeries including instrumentation procedures duration upto 4 hours of ASA grade I and II with BMI less than 24
Exclusion criteria
Exclusion criteria: Patient refusal ASA grade III and IV in scoliosis correction surgeries with intraoperative neuromonitoring and revision spine surgery duration more than 4 hours Patient with hypersensitivity to any of drugs in use Patient with congestive heart failure, CAD, chronic kidney disease, hepatic disease, neuropsychiatic disorder, coagulation abnormalities and pulmonary disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to request of rescue analgesic in first 36 hours and assessment of duration of analgesic using VAS score at 0 hour,2 hour ,4 hour ,8 hour ,12 hour ,24 hour ,36 hourTimepoint: Time to request of rescue analgesic in first 36 hours and assessment of duration of analgesic using VAS score at 0 hour,2 hour ,4 hour ,8 hour ,12 hour ,24 hour ,36 hour | — |
Secondary
| Measure | Time frame |
|---|---|
| Total intraoperative & postoperative opioid consumptionTimepoint: 36 hours;Intraoperative haemodynamic stabilityTimepoint: 10mins 30mins 1hr 1.5hr 2hr 2.5hr 3hr 3.5hr 4 hr;Occurrence of post operative nausea & vomitingTimepoint: Anytime in first 36 hr | — |
Countries
India
Contacts
Public ContactDr TIYASA PAIN
Institute of Neurosciences Kolkata
Outcome results
None listed