Health Condition 1: K839- Disease of biliary tract, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Adults age 18 65 years. ASA physical status I II (or III if you prefer). Scheduled for elective laparoscopic procedures under general anesthesia with expected duration 60 180 minutes. Able to provide informed consent.
Exclusion criteria
Exclusion criteria: Known allergy to study drugs (dexmedetomidine, lignocaine, fentanyl). Severe cardiac conduction disease (2nd or 3rd degree heart block without pacemaker). Significant hepatic dysfunction, severe renal impairment. Pregnancy or breastfeeding. Chronic opioid use or chronic pain requiring opioids. BMI more than 35 Severe psychiatric disease or inability to report pain scores. Seizure disorder relative contraindication to lignocaine infusion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare intraoperative haemodynamic effect between Dexmedetomidine and Lignocaine group with Fentanyl group during elective laparoscopic surgeries and postoperative analgesia in both the groups. Further to achieve the goal of opioid free anaesthesiaTimepoint: To compare intraoperative haemodynamic effect between Dexmedetomidine and Lignocaine group with Fentanyl group during elective laparoscopic surgeries and postoperative analgesia in both the groups. Further to achieve the goal of opioid free anaesthesia | — |
Secondary
| Measure | Time frame |
|---|---|
| Compare postoperative pain scores (VAS/NRS) at rest at 0, 1, 2, 6, 12, 24 hours. Total postoperative opioid consumption in the first 24 hours. Time to first analgesic request. Incidence of PONV, sedation scores, respiratory depression, and other adverse events. Time to extubation / PACU stay length and overall recovery profile (where applicable). Timepoint: | — |
Countries
India
Contacts
7 Air Force Hospital