blood loss during posterior spinal fusion surgery. Fracture of lumbar vertebra
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: inclusion criteria: 20-65yr old with American Society of Anesthesia (ASA) physical status of I-II candidated for posterior fusion of lumbar spine at 3 to 4 levels due to traumatic vertebral fracture The exclusion criteria: significant underlying disease (hypertension, hepatic or renal disease, coagulation defects, diabetes mellitus), being under beta-blocker, calcium channel blocker, dioxin, tricyclic antidepressant, anticoagulant or clonidine treatment, drug or alcohol abuse.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Surgical blood loss. Timepoint: end of operation. Method of measurement: milliliter. | — |
Secondary
| Measure | Time frame |
|---|---|
| Surgeon's satisfaction of a bloodless field. Timepoint: end of surgery. Method of measurement: surgeon's satisfaction scoring system.;Dose of remifentanil administered per hour to keep mean arterial pressure between 60 - 70 mmHg. Timepoint: end of operation/anesthesia. Method of measurement: milligram/hour.;Need for nitroglycerin added to remifentanil to keep mean arterial pressure between 60 - 70 mmHg. Timepoint: end of surgery. Method of measurement: number of petients who needed TNG in each group.;Occurance of severe/refractive bradycardia (as a complication of clonidine). Timepoint: when occured during operation/anesthesia. Method of measurement: number of patients. | — |
Countries
Iran (Islamic Republic of)
Contacts
Tehran ( Iran) University of Medical Sciences