MedPath

Effects of i.v.Dexmedetomidine on Spinal Anaesthesia in Lower Limb Orthopaedic Surgeries.

Not yet recruiting
Conditions
Disorder of continuity of bone, unspecified,
Registration Number
CTRI/2019/10/021662
Lead Sponsor
MALLIDI CHANDRASEKHARA REDDY
Brief Summary

—Orthopaedic procedures of lower limbs are best doneunder spinal anaesthesia but the major problem is positioning the patient forspinal block

—Due to the injury and pain, longer time is taken forpositioning and to achieve a successful Dural tap.

—The discomfort and distress of positioning requiresprior administration of strong IV narcotics, which have the disadvantage ofover sedation, respiratory depression & poor co-operation

—Dexmedetomidine is a very potent a2 agonist which causesdose dependent sedation, anxiolysis ,some analgesia, blunting stress responseand also with opioid sparing effect

Detailed Description

Not available

Recruitment & Eligibility

Status
Not Yet Recruiting
Sex
All
Target Recruitment
100
Inclusion Criteria

Asa status 1&2 Patients undergoing lower limb orthopedic surgery.

Exclusion Criteria

PATIENTS WITH SINUS BRADYCARDIA PATIENTS WITH ARRYTHMIA ANY CONTRAINDICATIONS FOR SPINAL ANAESTHESIA HISTORY OF DRUG HYPERSENSITIVITY PATIENTS REFUSAL.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Duration for conducting the spinal blockLevel of sensory block and quality of motor block at 5 min of spinal anaesthesia till 15 minutes. | ï‚§ Time for two segment regression after completion of surgical procedure. | ï‚§ Level of sedation (Ramsay sedation score) at 15minutes interval till the patient discharge from post anaesthesia care unit or fully alert. | ï‚§Post operative pain ( VAS score), time to requirement of 1st rescue analgesia, and total rescue doses in first 24 hours
Quality and duration of spinal blockLevel of sensory block and quality of motor block at 5 min of spinal anaesthesia till 15 minutes. | ï‚§ Time for two segment regression after completion of surgical procedure. | ï‚§ Level of sedation (Ramsay sedation score) at 15minutes interval till the patient discharge from post anaesthesia care unit or fully alert. | ï‚§Post operative pain ( VAS score), time to requirement of 1st rescue analgesia, and total rescue doses in first 24 hours
Post operative pain & analgesia requirementLevel of sensory block and quality of motor block at 5 min of spinal anaesthesia till 15 minutes. | ï‚§ Time for two segment regression after completion of surgical procedure. | ï‚§ Level of sedation (Ramsay sedation score) at 15minutes interval till the patient discharge from post anaesthesia care unit or fully alert. | ï‚§Post operative pain ( VAS score), time to requirement of 1st rescue analgesia, and total rescue doses in first 24 hours
SPINAL BLOCK.Level of sensory block and quality of motor block at 5 min of spinal anaesthesia till 15 minutes. | ï‚§ Time for two segment regression after completion of surgical procedure. | ï‚§ Level of sedation (Ramsay sedation score) at 15minutes interval till the patient discharge from post anaesthesia care unit or fully alert. | ï‚§Post operative pain ( VAS score), time to requirement of 1st rescue analgesia, and total rescue doses in first 24 hours
POST OPERATIVE PAIN AND ANALGESIA REQUIREMENT.Level of sensory block and quality of motor block at 5 min of spinal anaesthesia till 15 minutes. | ï‚§ Time for two segment regression after completion of surgical procedure. | ï‚§ Level of sedation (Ramsay sedation score) at 15minutes interval till the patient discharge from post anaesthesia care unit or fully alert. | ï‚§Post operative pain ( VAS score), time to requirement of 1st rescue analgesia, and total rescue doses in first 24 hours
Secondary Outcome Measures
NameTimeMethod
Level of sedationHemodynamic changes

Trial Locations

Locations (1)

kalinga Institute of Medical Sciences

🇮🇳

Khordha, ORISSA, India

kalinga Institute of Medical Sciences
🇮🇳Khordha, ORISSA, India
mallidi chandrasekhara reddy
Principal investigator
6309547889
healing.chandu@gmail.com

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