Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Multimodal analgesia: After inducing anaesthesia this group of patients will receive intravenous ketamine infusion and epidural Levobupivacaine local anaesthetic injection for analgesia
Sponsors
Manipal Academy of Higher Education Manipal Kasturba medical college Manipal
Eligibility
Inclusion criteria
Inclusion criteria: American Society of anaesthesiologist Class 1 and 2 posted for elective spine surgery
Exclusion criteria
Exclusion criteria: Patient refusal. Infection at the site of injection. Body mass index more than 35 Patients with Revised Cardiac Risk Index more than 2, patients with estimated glomerular filtration rate of less than 45 , known case of chronic liver disease, past history of stroke, Stage 3 or more as per Rutherford classification for severity of peripheral vascular disease. Patients coming for emergency surgeries. Patients for revision spine surgery. Pregnancy. Neuromuscular disorder. History of allergy to Local Anaesthetics.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To Determine and compare the postoperative pain scoresTimepoint: 1st,2nd ,4th,8th, 12th and 16th hours during bed rest and at movement between the two groups. | — |
Secondary
| Measure | Time frame |
|---|---|
| Determine and compare the intraoperative and postoperative analgesic consumption. intraoperative haemodynamics, incidence of postoperative nausea and vomiting, time to awakening from anaesthesia, time to postoperative patient mobilization, length of hospital stay, quality of recovery score and patient satisfaction score.Timepoint: During surgery, End of surgery, Immediate postoperative period, 12 hours after surgery, 24 hours after surgery, at discharge from hospital, at follow up visit. | — |
Countries
India
Contacts
Public ContactAnjana Kashyap
Kasturba Medical college and hospital, Manipal
Outcome results
None listed