Health Condition 1: M968- Other intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified
Conditions
Interventions
Intervention1: Retrolaminar Block: Group R: Bilateral Ultrasound guided Retrolaminar Block with 20 ml 0.2% Ropivacaine given after induction of general anaesthesia, before skin incision. Duration of b
Sponsors
Sir Sunderlal Hospital IMS BHU
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients (age 18 to 65 years) with ASA grade I-III undergoing Thoraco-lumbar spine surgery under general anaesthesia 2. Patients who can understand and provide a valid consent for the procedure and can understand and are willing to report the pain using NRS score.
Exclusion criteria
Exclusion criteria: 1. Patients not giving consent 2. Duration of surgery more than 3 hours 3. Patients with allergies to local anaesthetics 4. Bleeding disorders 5. Anti-coagulant or anti-platelet drugs, INR more than 1.5 6. Localised infections 7. Patients in whom the sono-anatomy of the anaesthetic injection site is not clearly delineable due to any reason 8. Patients with associated Rib fracture and polytrauma patient with associated head, thoracic, abdominal injury 9. Patients with previous history of spine surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the post operative analgesic efficacy assessed by Numeric Rating Scale(NRS), between Bilateral USG guided Retrolaminar Block and local anaesthetic infiltration in patients undergoing thoraco-lumbar spine surgery.Timepoint: 30 min, 1 hour, 2 hour, 6 hour, 12 hour, 24 hour | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare the time to first dose of rescue analgesia intravenous injection (drug TRAMADOL 1mg/kg) required to achieve adequate analgesia (Numeric Rating Scale less than and equal to 3) between two groups.Timepoint: 30 min, 1 hour, 2 hour, 6 hour, 12 hour, 24 hour;To compare the total dose (in mg) of rescue analgesia intravenous injection (drug TRAMADOL 1mg/kg) required to achieve adequate analgesia (Numeric Rating Scale less than and equal to 3) in the first 24 hours post surgery between two groups.Timepoint: 30 min, 1 hour, 2 hour, 6 hour, 12 hour, 24 hour;To compare Intraoperative intravenous FENTANYL consumption (0.5mcg/kg intravenous dose given when MAP or HR more than 20% of preoperative values)Timepoint: Duration of surgery;To compare Total duration of hospital stayTimepoint: Duration of hospital stay | — |
Countries
India
Contacts
Public ContactDr Reena
Institute of Medical science, Banaras Hindu University
Outcome results
None listed