Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All patients who will undergo elective lower limb or infraumbilical abdominal surgeries under spinal anesthesia with mildly reduced cardiac ejection fraction (41-49%). Patients in age group of 18 -70 years.
Exclusion criteria
Exclusion criteria: Those with deranged coagulation profile. Patient who having history of allergy to local anesthetics ropivacaine/ levobupivacaine. Those with diabetic autonomic neuropathy or any neurological disease of spinal cord. Those with the severe hypotension, critical valvular stenosis, Ventricular outlet obstruction etc. Patients with history of substance abuse
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the incidence and severity of Hemodynamic changes after giving ropivacaine and levobupivacaine for subarachnoid block and need for Vasopressor drugs between two groups.Timepoint: To compare the incidence and severity of Hemodynamic changes after giving ropivacaine or levobupivacaine for subarachnoid block and need for Vasopressor drugs between two groups at every 2min in first 20 min and every 20min till surgery completed. | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare the time onset of highest sensory segmental block up To T8-10 , duration of motor and sensory block, Quality of block (Bromage score), regression of block to L1 level, incidence of Nausea/ vomiting, shivering and time for the rescue analgesia in post operative period between the two groups.Timepoint: For time onset of block, quality of motor and sensory block we will check at every 2 min for first 30 min after giving spinal anesthesia. For duration of block and need for rescue analgesic we will check every 30 min in recovery room. | — |
Countries
India
Contacts
Adesh University