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Opioid free anaesthesia in lumbar microscopic discectomy and comparing bilateral erector spinae plane block and intravenous lignocaine infusion for post operative pain management

Phase 3
Conditions
Health Condition 1: O- Medical and Surgical
Registration Number
CTRI/2024/01/061553
Lead Sponsor
Himalayan Institute Of Medical Sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

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

1)Age 18-65 years

2)All patients giving written consent will be taken for study

3)American Society of Anaesthesiology physical status grade 1 to 3

Exclusion Criteria

1)Allergy to local anaesthetic drug or any other drug used in the study

2)MI within 6 months, profoundly decreased LVEF( <40%), cardiac failure(NYHA 1 to 4)

3)Severe liver disease(AST OR ALT or bilirubin >2.5 times the upper limit of normal)

4)Renal failure(creatinine outside normal range)

5)Patients who cannot operate PCA pump

6)Chronic use of opioids and beta blockers

7)Chronic pain syndromes

8)Inability to understand pain assessment

9)Pregnancy and lactation

10)Severe mental impairment, known psychiatric illness

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To assess the post-operative pain outcome using numerical rating scale (NRS) after erector spinae plane block and intravenous lignocaine infusion and its comparison with the control group in microscopic lumbar discectomyTimepoint: To assess the post-operative pain outcome using numerical rating scale (NRS) after erector spinae plane block and intravenous lignocaine infusion and its comparison with the control group in microscopic lumbar discectomy at 0, at. 30 minutes,1,2,3,4,5,6,8,10,12,16,20,24 hours
Secondary Outcome Measures
NameTimeMethod
To assess the quality of recovery and post-operative outcome using QOR-15 score and S-DN4 questionnaireTimepoint: QOR-15 score will be assessed preoperatively, postoperatively and at 3 Months <br/ ><br>S-DN4 questionnaire will be assessed at 3 months
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