Compare sitting versus lateral position for giving spinal anaesthesia in elderly patients
Not Applicable
- Conditions
- Health Condition 1: - Health Condition 2: O- Medical and Surgical
- Registration Number
- CTRI/2021/11/037722
- Lead Sponsor
- Adesh Institute of Medical Sciences and Reaesrch
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Yet Recruiting
- Sex
- Not specified
- Target Recruitment
- 0
Inclusion Criteria
ASA grade I-II patients of both sexes, age more than 70 yrs, weight between 40-70kg, height between 1.4-1.8m undergoing lower limb surgeries of expected duration less than 120 minutes will be included in the study.
Exclusion Criteria
Patients refusing to give consent, history of hypersensitivity to local anaesthetic, any neurological disorder, major systemic disease like liver and cardiovascular disease, coagulopathy or bleeding disorders, on anticoagulant therapy, anatomical deformities (spinal congenital anomalies, acquired scoliosis, post-traumatic, post-laminectomy), any haemodynamic instability, patients at risk of developing sepsis, bacterial wound infection and ASA grade III â?? V patients will be excluded from the study.
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method This study has been designed to compare patientâ??s comfort and satisfaction level associated with sitting and lateral positions for induction of spinal anesthesia in the elderly patient.Timepoint: Sensory Block Assessment : <br/ ><br>1. The onset of analgesia (tested every 10 seconds from time â??0â?? that will be injection of drug in subarachnoid space. ) <br/ ><br>2. Height of sensory block <br/ ><br>3. Maximum sensory block level <br/ ><br>4. Time required to achieve maximum sensory block level <br/ ><br> <br/ ><br>Motor Block Assessment : <br/ ><br>1. The onset of motor block ( it will be tested from â??0â?? time to the time of onset and it will be tested every 10) <br/ ><br>2. Modified Bromage score
- Secondary Outcome Measures
Name Time Method Comparision will be carried out in following parameters <br/ ><br>-Hemodynamics after spinal anaesthesia <br/ ><br>-quality of sensory and motor block <br/ ><br>-patientâ??s comfort and satisfaction with spinal induction position <br/ ><br>Timepoint: After the spinal injection assessments will be made every 3 min for the first 15 min, then every 5 min for the following 30 min for height of sensory and motor blocks, heart rate, systolic, diastolic and mean arterial pressures and SPO2 .