Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Segmental Thoracic Spinal anaesthesia group: Patients will receive segmental thoracic spinal anaesthesia, in the form of medications injected into the space around their spinal cord in
Sponsors
AIIMS Rishikesh
Eligibility
Inclusion criteria
Inclusion criteria: Age 18 to 70 years All genders American Society of Anaesthesiology physical status I till III
Exclusion criteria
Exclusion criteria: 1. Patient refusal 2. Contraindications to spinal anaesthesia (e.g., bleeding diathesis, infection) 3. Pregnancy 4.BMI more than 35 5.Severe systemic disease (ASA IV) 6.Patients having pre-existing severe respiratory illnesses (ARISCAT Score more than 44) 7. Vertebral deformity or previous spine surgeries 8. Allergy to local anaesthetics 9. Inadequate spinal anaesthesia effects 10. Intraoperative changes in surgery plan
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Peak expiratory flow rate (assessed using a hand-held spirometer) Timepoint: T0- preoperative T1-6 hours post operative period T2- 24 hours post operative period T3-48 hours post operative period | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Breath holding time and SpO2 2. Postoperative lung aeration score (USG assessed) 3.Trans-diaphragmatic excursion (ultrasound assessed Delta TDI) 4. Other postoperative pulmonary complications (haemodynamic, pulmonary & other system) 5. Satisfaction scores of patients & surgeons Timepoint: Predefined time points [preoperative (T0), postoperative (T1) at 6 hr, postoperative day 1 (T2) 24 hr, postoperative day 2 (T3) 48 hr for breath holiding time and spo2 and for Trans-diaphragmatic excursion (ultrasound assessed Delta TDI) Preoperative period (time point A), five minutes after induction (time point B), five minutes after pneumoperitoneum (time point C), at the end of surgery but before extubation (time point D), after one-hour post-extubation in the postoperative room (time point E), postoperative (T1) at 6 hr, postoperative day 1 (T2) 24 hr, postoperative day 2 (T3) 48 hr for Postoperative lung aeration score (USG assessed) | — |
Countries
India
Contacts
Public ContactDr Nikita Choudhary
AIIMS Rishikesh
Outcome results
None listed