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To provide post operative pain relief in patients undergoing lumbar vertebral laminectomies by using erector spinae block with levobupivacaine and bupivacaine along with dexmedetomidine and there comparison between two groups under ultrasound guidance

Phase 2
Conditions
Health Condition 1: O- Medical and Surgical
Registration Number
CTRI/2024/04/065972
Lead Sponsor
DR ERANA REBECCA
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1) ASA grade I – II patients

2) Aged 18 – 65 years

3) Patients willing to participate

4) Patients undergoing lumbar laminectomies and discectomies.

Exclusion Criteria

1) Patient who refused to participate

2) Morbidly obese patients

3) Pregnancy

4) Severe hepatic insufficiency

5) Severe renal insufficiency

6) Spinal deformities

7) Drug allergies used in the study

8) Cardiac or respiratory compromise

9) Coagulation profile abnormalities

10) Patients on beta blockers

11) Patients with neurological deficit

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1) <br/ ><br>Duration of analgesia ( after giving block)initial use of rescue analgesia for surgical site painTimepoint: 1) <br/ ><br>Duration of analgesia 6hr to 8hr ,12hrs,16hrs till 48hrs after giving block)initial use of rescue analgesia for surgical site pain( if patient complains of pain inj .ketrolac should be given)pain initial use of rescue analgesia for surgical site pain
Secondary Outcome Measures
NameTimeMethod
1) To evaluate the efficacy of levobupivacaine with dexmedetomidine and bupivacaine with dexmedetomidine in terms of maximum visual analogue scale (VAS) pain score and consumption of rescue analgesia. <br/ ><br>2) To assess time for mobilization for the patients undergoing lumbar laminectomies. <br/ ><br>3) <br/ ><br>Comparison of intraoperative hemodynamics between two groups. <br/ ><br>4) Comparison of readiness for discharge in the two groups.Timepoint: VISUAL ANALOGUE SCALE
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