To observe the effect of extension of epidural space with normal saline on the effect of spinal anaesthesia using low dose of local anaesthetic i.e., high density BUPIVACAINE in patients undergoing infraumbilical surgeries
Phase 3
- Conditions
- Health Condition 1: I839- Asymptomatic varicose veins of lower extremitiesHealth Condition 2: S720- Fracture of head and neck of femurHealth Condition 3: R103- Pain localized to other parts of lower abdomen
- Registration Number
- CTRI/2023/04/051776
- Lead Sponsor
- ESIC Medical College and Hospital
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Yet Recruiting
- Sex
- Not specified
- Target Recruitment
- 0
Inclusion Criteria
1. American Society of Anesthesiologists (ASA) status Iâ??II
2. Belonging to both genders
3. Age - 18 years to 60 years
4. Type of Surgery â??Elective Infraumbilical surgeries under CSE
5. Valid written informed consent
Exclusion Criteria
1. ASA • & â?£
2. BMI > 30kg/m2
3. Height - < 150cm
4. Patients with a history of spinal disease/deformities
5. Coagulation abnormality
6. Sensitivity to bupivacaine
7. Contraindications to central neuraxial block
8. Local infections
9. Patient refusal
Post inclusion exclusion criteria: Patients with inadequate block who require epidural top ups with local anaesthetic at any time during the surgery
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method 1. Maximum sensory dermatomal level achieved <br/ ><br>2. Time taken for the achieving maximum sensory level after subarachnoid blockTimepoint: 3, 6, 9, 12, 15 minutes after Subarachnoid block
- Secondary Outcome Measures
Name Time Method 1. Time to achieve adequate blockade (Tadeq i.e T10) <br/ ><br>2. Time taken to achieve desired motor block <br/ ><br>3. Time for two segment regression <br/ ><br>4. Time for Motor recovery <br/ ><br>5. Heart rate (HR) <br/ ><br>6. Systolic blood pressure (SBP) <br/ ><br>7. Diastolic blood pressure (DBP) <br/ ><br>8. Mean arterial pressure (MAP).Timepoint: 3, 6, 9, 12, 15, 30, 45, 60 minutes after Subarachnoid block