Comparison Of Effects Of Trendelenburg 20 Degree, Passive Leg Raising At 45 Degree And Supine Position On The Hemodynamic Changes After Tourniquet Deflation In Orthopaedic Lower Limb Surgery Under Spinal Anaesthesia - A Prospective Parallel Controlled Study
Overview
- Phase
- Phase 2
- Status
- Recruiting
- Sponsor
- Deen Dayal Upadhyay Hospital
- Enrollment
- 90
- Locations
- 1
- Primary Endpoint
- to evaluate the effect of tredenlenberg 20 degree position,passive leg raise at 45 degree and supine position on mean arterial pressure and heart rate after 5 minutes of torniquet deflation
Overview
Brief Summary
It is a Prospective Parallel Controlled Study to Compare the effect of Trendelenburg 20 degree position, Passive leg raising at 45 degree and Supine position on hemodynamic changes after tourniquet deflation in patients undergoing Orthopaedic lower limb surgery under Spinal Anaesthesia. Here patients will be allocated into 3 study group by block randomisation with sealed envelope system. We will prepare fifteen randomly generated treatment allocations within sealed opaque envelopes assigning T, P and C in 5 envelopes each, where T represents Trendelenburg 20degree group, P represents PLR 45 degree group and C represents control group with supine position. Once a patient will consent to enter a trial, an envelope will be opened and the patient will then be offered the allocated group. In this technique, patients will be randomised in a series of blocks of fifteen.After whic hemodynamic parameters will be monitored and recorded at baseline,0,1,2,3,4,5,10,20,30 minutes and need of vasopressors and IV fluid usuage, Torniquet inflation and Deflation time will be recorded.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Masking
- None
Eligibility Criteria
- Ages
- 18.00 Year(s) to 60.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •ASA(American society of Anaesthesiologist) Physical status grade I/II
- •Age from 18 to 60 years and All sexes
- •Patients undergoing Orthopaedics lower limb surgeries along with use of torniquet under spinal anaesthesia
- •Patients undergoing Orthopaedics lower limb surgeries whose duration of surgery is more than 1 hour.
Exclusion Criteria
- •Patients with any history of cardiovascular illness
- •Patients requiring bilateral lower limb surgery
- •Any allergy to local anaesthetic drugs
- •Any contraindication for spinal anesthesia
- •Patients undergoing lower limb vascular surgeries
- •Surgeries exceeding allowable tourniquet time
- •Intraoperative hemodynamic instability.
Outcomes
Primary Outcomes
to evaluate the effect of tredenlenberg 20 degree position,passive leg raise at 45 degree and supine position on mean arterial pressure and heart rate after 5 minutes of torniquet deflation
Time Frame: to evaluate the effect of tredenlenberg 20 degree position,passive leg raise at 45 degree and supine position on mean arterial pressure and heart rate after 5 minutes of torniquet deflation
Secondary Outcomes
- To compare(1. Systolic Blood Pressure (SBP) among Trendelenburg 20 degree position, Passive leg raising at 45 degree & supine position after tourniquet deflation.)
Investigators
Dr Upasana Goswami
Deen Dayal Upadhyay Hospital