To assess the effect of type and incidence of morbidity on length of hospital stay between different anaesthesia technique following damage control orthopaedic surgery

This study is an RCT to compare the incidence and type of early morbidity between general versus regional anaesthesia technique assessed by POMS score at post-operative day (POD) 8 following emergency orthopaedic surgery that will be conducted in the Department of Anaesthesia & Intensive Care, PGIMER, Chandigarh in patients who had traumatic lower limb open fractures type IIIA and IIIB undergoing emergency orthopaedic surgery. Patients fulfilling the inclusion criteria will be recruited. Basic demographic data, ASA PS grade, Acute Physiology and Chronic Health Evaluation (APACHE) score, nature of injury, Injury Severity Score (ISS), site, duration and type of surgery, time since injury, co-morbidities, routine baseline investigations, including renal function test (RFT) and coagulation profile shall be recorded. Anaesthesia provider will not be blinded to the intervention. Patients will be randomly assigned to two groups in a 1:1 ratio using a computer-generated randomised list concealed by opaque sealed envelopes. The outcome assessor, data analyst will remain blinded. Postoperative morbidity will be measured by using Post Operative Morbidity Survey (POMS) score. For comparing POMS, each patient’s score will be recorded prospectively in the post-operative period at the following time points. T1- 1st Post operative Day (POD1), T2-POD3, T3-POD5, T4-POD8.