Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Nil: Nil
Intervention2: Nil: Nil
Intervention3: Patient allocated in D group are administered with Intranasal Dexmedetomidine: After shifting geriatric patients who underwent lower limb
when patient complained of pain 0.6 microgram/kg of 1ml Intranasal Dexmedetomidine is administered 0.5 ml in each nostril through nasal atomiser in semirecumbent position as analgesia and vitals,vas
0.5 ml in each nostril is administered through nasal atomiser in semirecumbent position as analgesia and vitals, vas score, mrass score are measured after 15min 30min 45min,1 Hour, 2 hours,4 hours 6 h
Sponsors
DrU Anudeepika Reddy
Eligibility
Inclusion criteria
Inclusion criteria: Patients aged 65 years and above, Patients undergoing lower limb orthopaedic surgeries subarachnoid blockade, Patients with ASA grading 1,2
Exclusion criteria
Exclusion criteria: Known hypersensitivity or allergy to dexmedetomidine , Patients receiving antidepressants, Contraindication for nasal drug administration ,nasal trauma or obstruction such a copious mucous, bleeding, anatomic, tumoral or foreign body obstruction ,Documented risk of respiratory distress recent within 7 days need to be ventilated, recent respiratory impairment with an increased degree of dyspnea or a recent tachypnea more than 20 mins, known sleep apnea without non-invasive, ventilation support, Documented cardiac risk ,congestive heart failure, known life-threatening heart rhythm or conduction disorders, bradycardia less than 60 bpm or atrioventricular block without pacemaker, systolic blood pressure less than 100 mmHg, digoxin treatment ,Recent stroke less than 1 month, Patients currently on beta blocker
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The objective is to study the efficacy of intranasal dexmedetomidine as postoperative analgesia in geriatrics patients after lower limb orthopedic surgeries,To study the VAS scores in the 24 hr post op period, To study the analgesic consumption in the 24 hr post op period. Timepoint: 15 min, 30 min, 45 mins, 1 hour, 2 hour, 4 hour , 6 hour, 12 hour, 24 hour | — |
Secondary
| Measure | Time frame |
|---|---|
| Hemodynamic effects, agitation,anxiety,sedation in geriatric patients after undergoing lowerlimb orthopedic surgeries. Timepoint: 15 min, 30 min, 45 mins, 1 hour, 2 hour, 4 hour , 6 hour, 12 hour, 24 hour | — |
Countries
India
Contacts
Public ContactDr. U.Anudeepika Reddy
Shri B.M. Patil Medical college, hospital and research centre HOSPITAL AND RESEARCH CENTRE
Outcome results
None listed