?Evaluation of the effect of fentanyl and sufentanil as an adjuvant to ropivacaine on the quality of spinal anesthesia in lower limb orthopedic surgeries.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ASA ?-? patients Aged 70-16 years Having informed consent Candidates for lower limb orthopedic surgery
Exclusion criteria
Exclusion criteria: Patients with contraindications for spinal anesthesia. , 8-Surgeries lasting = one hour. Allergy to local anesthetics Drug abuse opium addiction Pregnant women Coagulation disorder BMI more than 35 Received narcotics before operation Surgeries lasting = one hour
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Onset of effect and duration of sensory and motor block. Timepoint: After spinal anesthesia, the sensory and motor block is assessed every 5 minutes until the maximum level of block is created, and then the assessment continues every half hour until the end of the surgery. Method of measurement: The level of motor block is determined based on the Bromage scale of 0-3. The level of sensory block is determined by pinprick sensation. | — |
Secondary
| Measure | Time frame |
|---|---|
| Hemodynamic parameters. Timepoint: Every 5 minutes to 30 minutes after performing spinal block and then every 15 minutes until the end of the surgery. Method of measurement: Electrocardiogram, non-invasive blood pressure and pulse oximeter.;Return time of sensory and motor block. Timepoint: Every 30 minutes during surgery, in recovery room and every hour after surgery. Method of measurement: Motor block is evaluated by Bromage scale 0-3 and level of sensory block by needle test.;Pain intensity. Timepoint: The pain intensity is evaluated at 30 minutes intervals during operation , in the recovery room and every hour after entering the ward. Method of measurement: Numerical Rating Scale 0-10.;Side effects. Timepoint: During surgery, in recovery room and in surgery ward. Method of measurement: By observing. | — |
Countries
Iran (Islamic Republic of)
Contacts
Shahid Beheshti University of Medical Sciences