Surgery anorectal surgeries like piles , fissures , etc
Conditions
Interventions
Spinal nalbuphine
Sponsors
Mansoura University hospitals
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients ASA I and II status 2. Patients who will anorectal surgery like Hemmorrhoids, perianal fistula or tumors in the anal region will be included in this study. 3. The age group is between 20 and 70 years old.
Exclusion criteria
Exclusion criteria: 1. Refusal of the patient. 2. Respiratory problems like chronic obstructive pulmonary disease (COPD) or asthmatic patients. 3. Previous history of increased intracranial pressure. 4. Renal or hepatic disease . 5. Coagulopathy . 6. Systemic or local Infection at the puncture site. 7. Allergy to local anesthetics. 8. ASA III and IV. 9. History of opioid administration in the last hours .
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| pain score will be assessed for all patients immediately after surgery, then 2,4 6,12,18 and 24 hours after surgery using visual analogue scale and numerical pain scor | — |
Secondary
| Measure | Time frame |
|---|---|
| Hemodynamics which will include mean blood pressure, heart rate and oxygen saturation ; the time of 1st opioid requirement ;side effects will be recorded including hematoma , nausea , vomiting or nerve injury . | — |
Countries
Egypt
Contacts
Public Contactalaa eldin Elmaadawy
Lecturer in anesthesia , pain management
Outcome results
None listed