The study will find the difference in pain killer drug consumption (tramadol) when neck (stellate ganglion) block is given before surgery with or without study drug (dexamethasone) in patients undergoing arm surgeries.
Phase 4
Completed
- Conditions
- Health Condition 1: S00-T88- Injury, poisoning and certain other consequences of external causes
- Registration Number
- CTRI/2017/02/007851
- Lead Sponsor
- Department of Anaesthesia
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 57
Inclusion Criteria
1. ASA physical status I & II of either sex
2. Age between 18 to 60 years
3. BMI >= 20 to <= 30 kg m-2
4. Scheduled for major upper limb surgery
Exclusion Criteria
1. Patientâ??s refusal for the procedure.
2. Patients having history of substance abuse.
3. Patients with coagulopathy and bleeding disorders.
4. Pre existing peripheral neuropathy.
5. Pre existing local infection at the site of block.
6. Pregnant and lactating women.
7. Patients having inability to use PCA pump.
8. Contraindication to study drug lignocaine, dexamethasone and tramadol.
9. Patients on chronic pain management drugs.
10.Patients with simultaneous acute post operative pain in other parts of the body.
11. Contraindication to general anaesthesia.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method To study Tramadol sparing effect of dexamethasone as an adjuvant in preoperative stellate ganglion block in patients undergoing upper limb surgeriesTimepoint: In post anaesthesia care unit 0 hours <br/ ><br>2 hours <br/ ><br>4 hours <br/ ><br>6 hours <br/ ><br>8 hours <br/ ><br>12 hours <br/ ><br>24 hours <br/ ><br>36 hours <br/ ><br>48 hours
- Secondary Outcome Measures
Name Time Method 1. Visual analogue scale at rest and on movement in patients receiving Stellate ganglion block scheduled for upper limb surgeries. <br/ ><br>2. Haemodynamics in patients receiving Stellate ganglion block scheduled for upper limb surgeries. <br/ ><br>3. Adverse effects of preoperative Stellate ganglion block in patients scheduled for upper limb surgeries. <br/ ><br>4.Patientâ??s satisfaction score <br/ ><br>5. Temperature in the operative limb (Ë?C), Chemosis, Ptosis, Miosis.Timepoint: 1 to 3. Preoperatively - baseline, 5 min after block and every 5 mins till 15 min after block placement, post operative 0 ,2,4,6,8,12,24,36 and 48 hours <br/ ><br> <br/ ><br>4. 24 and 48 hours <br/ ><br>5. Preoperatively - baseline, 5,10,15 mins