-
Conditions
Interventions
single shot epidural anesthesia using an 18 gauge Touhy needle,
with the paramedian approach at the T10-
11 or T11-
12 level. We used a loss of resistance to air technique to confirm placement of needle tip within the epidural space. After the confirmation of needle tip placement,
we then administered 0.25% bupivacaine plus 4 mg of morphine with a total volume of 10 ml. All patients were then given general anesthesia. Induction with propofol 1-
2mg/kg,
intubation with cisatracurium 0.2 mg/kg and maintenance with desflurane plus air in oxygen,
and intravenous infusion of cisatracurium (1 mcg/kg/min). No intravenous opioids were administered. ,Induction with propofol 1-
intubation with cisatracurium 0.2 mg/kg and maintenance by desflurane plus air in oxygen,
intravenous infusion of cisatracurium (1 mcg/kg/min). Intravenous opioids were administered as decided by the attending anesthesiologist providing care. Local infiltration analgesia was not allowed to
Active Comparator Drug,No Intervention No treatment
Epidural block plus general anesthesia ,gemeral anesthesia
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: -Patient schedule for Decompression laminectomy with or with out fusion surgery, 1-3 levels -age 18-80 years -ASA physical status I-III
Exclusion criteria
Exclusion criteria: -patient with contraindication to perform epidural block -patient who refuse epidural anesthesia -patient who has allergy to any of drug used in the study - kidney disease with GFR < 30 ml/min/1.73m2
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain after spine surgery 15 minute after admit to PACU and 24 hours post operative numeric rating score | — |
Secondary
| Measure | Time frame |
|---|---|
| Intraoperative blood loss immediate post operative mililiter | — |
Countries
thailand
Contacts
Public Contactmarvin thepsoparn
King chulalongkorn memorial hospital
Outcome results
None listed