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Comparative study of two different doses of buprenorphine with bupivacaine in spinal anesthesia in patients undergoing lower abdominal and lower limb surgeries

Not Applicable
Conditions
Health Condition 1: O- Medical and Surgical
Registration Number
CTRI/2019/04/018414
Lead Sponsor
Abi Meenashy
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

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

Patients scheduled for elective lower abdominal and lower limb surgeries in SMVMCH

2. Patients of ASA physical status 1 & 2

3. Patients of either sex

4. Age >18 years or <60 years.

Exclusion Criteria

1. Weight <40kg or >90kg.

2. Body Mass Index >30.

3. Patients having chronic pain and on analgesic medications or with prior history of opioid and other substance abuse.

4. Patients having history of previous spine surgeries, deformity/congenital anomaly of the spine, bleeding disorders.

5. Patients with local site infection, allergy to the drugs that are tested or any other contraindications for regional anaesthesia.

6. Patients who cannot lie down/ non co-operative/ psychiatric illness.

7. Alcoholics.

8. Pregnant / Lactating women.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Post op analgesia <br/ ><br>Timepoint: Visual analogue scale at 0,10,15,30 and 60 minutes and then at every 30 minutes in post anaesthesia care unit during first 2 hours and then hourly till the next 12 hours in the post operative ward.Whenever VAS score reaches more than 4, rescue analgesia will be given in the form of intramuscular tramadol 50mg. Time to the first dose of tramadol will be recorded.
Secondary Outcome Measures
NameTimeMethod
Motor blockade <br/ ><br>Sensory blockade <br/ ><br>Timepoint: Motor block is assessed using Modified Bromage scale every 5 min until maximum motor block is achieved and then time of return of normal motor function will be noted.Sensory block will be determined using the pinprick method, dermatomal level will be assessed every 2 minutes from completion of injection until the assessed sensory level remained stable for four consecutive assessments. Testing will be conducted every 10 min thereafter until two-segment regression is noticed.
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