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Comparison of two hyperbaric drugs injection levobupivacaine and ropivacaine with injection fentanyl in spinal anaesthesia for surgeries below umbilicus.

Phase 4
Conditions
Health Condition 1: K402- Bilateral inguinal hernia, withoutobstruction or gangrene
Registration Number
CTRI/2023/11/060005
Lead Sponsor
B.J.Government Medical College and Sassoon Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

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

Age: 18-70 years.

Height: 145-180 cm.

weight:50-90 kg.

Gender: both male and female.

American Society of Anesthesiology (ASA) physical status class I and II.

Patients posted for elective lower abdominal and lower limb surgeries.

Exclusion Criteria

1.Patient not willing to give consent for participation in the study.

2. Age < 18 years and >70 years.

3. Height < 145 cm and > 180 cm.

4. Weight < 50kg and > 90 kg.

5. ASA physical status class III and IV.

6.Patients with significant hepatic, cardiac, pulmonary, neurologic and psychiatric disease.

7. Hypersensitivity to local anaesthetics.

8. Any contraindication to spinal anaesthesia (local infection, spinal deformity,coagulopathy).

9. BMI > 35 kg/m2.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Onset of sensory block: using Pinprick. From intrathecal drug injection till to loss of pin prick sensation at L1 dermatome. <br/ ><br>Onset of motor block: From intrathecal drug injection till Modified Bromage scale 3. <br/ ><br>Duration of sensory block: From the time of onset till complete recovery of sensations. <br/ ><br>Duration of motor block: From the time of onset of motor block till return of motor block to modified Bromage scale 0. <br/ ><br>Hemodynamic parameters: Heart rate, systolic and diastolic blood pressure, oxygen saturation, respiratory rate.Timepoint: Both sensory and motor block: recorded at 1,3,5,10,15,20,25,30,45 and 60 minutes. Later every 30 minutes till complete block resolution. <br/ ><br>Hemodynamic parameters: Assessed at same times as sensory and motor block untill the 5th hour.
Secondary Outcome Measures
NameTimeMethod
Duration of Analgesia: From intrathecal drug injection till VAS score > 3. <br/ ><br>Incidence of side effects: recorded intraoperatively and postoperatively. <br/ ><br>Timepoint: Duration of Analgesia: VAS score. Assessed at 60 minutes after intrathecal drug injection, later every 30 minutes interval till 3 hours. <br/ ><br>side effects: Nausea, vomiting, pruritus, hypoxaemia, hypotension.
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