Pain
Conditions
Keywords
postoperative, spine surgery
Brief summary
we aim to compare the analgesic effect of 0.125% bupivacaine HCL, 0.125% bupivacaine HCL + Morphine sulphate 3 mg, 0.125% bupivacaine HCL + Fentanyl 100 micro gram both at rest and mobilization maneuvers.
Interventions
DRUG0.125% Bupivacaine HCL @ 4-5 ml/h
DRUG0.125% Bupivacaine HCL , Morphine sulphate @ 3 mg 3-5 ml/h
DRUG0.125% Bupivacaine, Fentanyl 100 mic @ 3-5 ml/h
Sponsors
Assiut University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* patients undergoing spine fusion surgery.
Exclusion criteria
* Drug addiction. Intraoperative dural tear. Uses of opioids drug for any reason in the previous 48 hours. Mental dysfunction. Spinal fusion for any infectious or malignant causes.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of pain | first 3 postoperative days | • Pain will be assessed using the VAS ranging from 0 (no pain) to 10 (worst imaginable pain). Pain will be evaluated at rest, while coughing, and during mobilization. Maneuvers of particular clinical importance for postoperative mobilization (alone and with help) will be chosen: Turning in bed, standing in front of the bed and walking, and using the toilet without help. The time needed until the patient can first successfully perform these maneuvers will be documented. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| assessment of patients' satisfaction | First 3 postoperative days | verbal rating score will be used (4 = very satisfied, 3 = satisfied, 2 = neutral, 1 = dissatisfied, and 0 = very dissatisfied). |
Other
| Measure | Time frame | Description |
|---|---|---|
| beta-endorphin | 1st postoperative day | 3 serum samples for beta-endorphin will be taken 1st one preoperative base line , 2nd at VAS more than 3 at rest ,3rd when VAS less than 2 at rest |
Countries
Egypt
Outcome results
None listed