Nervous System Diseases Surgery adjucts to general anesthetics in spine surgery Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ¿Adult patients, 18 to 65 years old. ¿American society of anesthesiologists class I or II. ¿Body mass index 25- 40 kg/m2. ¿Normo-tensive patients, systolic blood pressure not more than 140 mmHg and diastolic not more than 90 mmHg.
Exclusion criteria
Exclusion criteria: ¿Body mass index more than 40 kg/m2. ¿Previous spine surgery or pain intervention. ¿Poorly controlled arterial hypertension (blood pressure higher than 140/90 mmHg). ¿Respiratory, liver, psychiatric or kidney disease. ¿Heart disease (heart block, or myocardial ischemia). ¿Diabetes mellitus (altered pain perception) ¿Pregnant females. ¿Patients on ¿2 agonist or ¿ blocker therapy. ¿History of hypersensitivity to any of the study drugs.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| anesthetic consumption;intraoperative blood loss: blood volume in the suction container and the number of the bloody gauze pads. ;hemodynamics : HR, MAP, Need for nitroglycerin, ephedrine or atropine for maintaining the hemodynamics within the predetermined hemodynamics range. Incidence of intraoperative complications as hypotension/ hypertension, tachycardia/ bradycardia. ;postoperative VAS, analgesic consumption, Time for first postoperative analgesia requirement | — |
Secondary
| Measure | Time frame |
|---|---|
| Extubation time;postoperative side effects: Incidence and severity of side-effects such as PONV, shivering, sedation, headache, visual disturbance and respiratory depression ;sedation level by Ramsay Sedation Scale;PACU discharge time (min). | — |
Countries
Egypt
Contacts
lecturer in aneaesthesia and intesnive care