Health Condition 1: O- Medical and Surgical Health Condition 2: 4- Measurement and Monitoring
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 2.BMI more than equal to 25 Kg/m² 3.Undergoing elective gynaecological surgery under central neuraxial block 4.ASA physical status I, II and III
Exclusion criteria
Exclusion criteria: 1.Known history of obstructive sleep apnoea (OSA) or use of continuous positive airway pressure (CPAP) 2.Patients with cognitive impairment or inability to assess sleep quality reliably, pre-existing neurological, psychiatric or sleep disorders 3.Chronic use of antidepressants, antipsychotics, opioids, sedatives, steroids or drug/alcohol abuse 4.Known allergy or contraindication to dexmedetomidine or ketamine
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mean ± standard deviation of Richards Campbell Sleep Questionnaire with dexmedetomidine versus ketamine in obese patients undergoing elective gynaecological surgery under central neuraxial blockTimepoint: Morning following first night after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| Proportion of patients developing intraoperative adverse effects such as bradycardia, tachycardia, hypertension, hypotension and desaturation in both groups Timepoint: during the surgery;Proportion of patients having postoperative nausea and vomiting in both groupsTimepoint: 1 hour, 3 hours, 6 hours, 12 hours and 24 hours after surgery;Median (Interquartile range) Visual Analogue Scale score in both groupsTimepoint: 1 hour, 3 hours, 6 hours, 12 hours and 24 hours after surgery;Mean ± standard deviation of rescue analgesic consumption in both groupsTimepoint: first 24 hours after surgery;Median score (IQR) of total sleep time, sleep efficiency index and arousal index in both groupsTimepoint: Morning following first night after surgery;Correlation between Richards Campbell Sleep Questionnaire and polysomnography findings in both groupsTimepoint: Morining following first night after surgery | — |
Countries
India
Contacts
Lady Hardinge Medical College and associated hospitals