To study different pain modalities used in patients receiving Epidural analgesia for postoperative pain relief after elective Gynaecological Surgery
- Conditions
- Health Condition 1: null- Healthy patients (ASA physical status I and II), 18-60 years, scheduled to undergo elective gynaecological surgeries under combined spinal epidural anaesthesia will be included in the study.
- Registration Number
- CTRI/2016/04/006800
- Lead Sponsor
- ady Hardinge Medical College
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Open to Recruitment
- Sex
- Not specified
- Target Recruitment
- 150
Healthy patients (ASA physical status I and II), 18-60 years, scheduled to undergo elective gynaecological surgeries under combined spinal epidural anaesthesia will be included in the study
• ASA III and IV (Myocardial {NYHA class IIIâ??IV}, severe cerebrovascular, renal or hepatic impairment)
• Refuse combined spinal epidural anaesthesia
• Any contraindication to regional anaesthesia
• History of drug allergy, contraindications to any of analgesic drugs, chronic use of opioids, non-steroidal anti-inflammatory drugs or corticosteroids
• Inability to understand NRS or study protocol or unable to communicate
• Patients in whom combined spinal epidural anaesthesia is inadequate for conduct of surgery will also be excluded from the study
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method To study dynamic pain scores which include pain on coughing and on movement from lying down to sitting position in patients receiving different epidural analgesia regimens for postoperative pain relief after elective gynaecological surgeryTimepoint: Patients will be observed at 1hr, 2hr, 4hr, 8hr and 12hr after surgery and at 8 am, 12 noon, 4pm and 8pm till epidural catheter is removed (48-96 hrs) after surgery.
- Secondary Outcome Measures
Name Time Method To study the difference in following parameters between different epidural analgesia regimens <br/ ><br>â?¢ Pain scores at rest. <br/ ><br>â?¢ Level of sensory blockade <br/ ><br>â?¢ Degree of motor blockade <br/ ><br>â?¢ Duration of analgesia after removal of catheter <br/ ><br>â?¢ Total analgesia requirement postoperatively <br/ ><br>â?¢ Side effects of drugs used <br/ ><br>â?¢ Difference in patient satisfaction scores <br/ ><br>â?¢ Catheter migration, if any <br/ ><br>Timepoint: Patients will be observed at 1hr, 2hr, 4hr, 8hr and 12hr after surgery and at 8 am, 12 noon, 4pm and 8pm till epidural catheter is removed (48-96 hrs) after surgery.