Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age 18-65 years All genders ASA Grade I or II Body weight 50-90 kg Patients undergoing elective knee replacement surgeries
Exclusion criteria
Exclusion criteria: Spinal deformities or anatomical abnormalities Contraindications to spinal/epidural anaesthesia Abnormal hepatic, renal, or hematological parameters Patient refusal for regional anaesthesia Known allergy to study medications
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate a safety protocol of preloading of 10 ml /kg body weight of crystalloids, prophylactic use of intravenous glycopyrrolate and also pre- instillation of normal saline (5 ml) into the epidural space to prevent epidural placement related complications.Timepoint: According to Likerts Scale, easy catheter insertion is defined as if consultant who secures epidural catheter says that he/she agree (4) or strongly agree (5) that it is an easy and smooth insertion of epidural catheter. Difficult insertion will be defined as if consultant who secures epidural catheter says that he/she strongly disagree (1) or disagree (2) or undecided (3) about easiness of insertion of epidural catheter. | — |
Secondary
| Measure | Time frame |
|---|---|
| To find out the incidence of vasovagal attacks during epidural insertion.Timepoint: ;To find out the associated complications related to epidural and the incidence of intravascular placement of epidural catheter.Timepoint: ;To find out the uniformity of epidural drug spread/two segment regression & requirement of rescue analgesia.Timepoint: ;To check the hemodynamic response.Timepoint: T0- At the start of procedure T5- 5 mins T10- 10 mins T15- 15 mins TN | — |
Countries
India
Contacts
Adesh Institute Of Medical Sciences And Research, Bathinda(AIMSR), Punjab