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Trial to evaluate the analgesic effect of dexmedetomidine infusion in robotic onco surgeries.

Phase 4
Registration Number
CTRI/2015/08/006130
Lead Sponsor
Tata Memorial Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
46
Inclusion Criteria

ASA I-II patients posted for robot assisted laparoscopic surgery.

Exclusion Criteria

•Contraindication to the use of dexmedetomidine- c/o liver dysfunction- cirrhotic or pt with deranged LFT- e.g. Alanine transaminaseï¼?ALTï¼?and (or) Aspartate aminotransferaseï¼?ASTï¼? level is more than twice the upper limit of normal, INR >1.5

•Patient with severe renal dysfunction, GFR less than 50 ml /hr

•All hypertensives,

•Patients with heart blocks or bradycardia HR <60,

•Patient with premature ventricular ectopics >5/min.

•Mini laparotomy( more than 5 cm ) planned for removal for anastomosis or surgical dissection e.g, robotic assisted cystectomy, whipples surgery, abdominal perineal resection.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
â?¢Reduction in intraoperative opioids requirement by using dexmedetomidine iv infusion verses saline in robotic assisted laproscopic onco surgeries. <br/ ><br>â?¢Time to need for first rescue analgesic in postoperative period (PS3/10. At rest/ 4/10 at movement) <br/ ><br>Timepoint: â?¢Reduction in intraoperative opioids requirement by using dexmedetomidine iv infusion verses saline in robotic assisted laproscopic onco surgeries. <br/ ><br>â?¢Time to need for first rescue analgesic in postoperative period (PS3/10. At rest/ 4/10 at movement) <br/ ><br>
Secondary Outcome Measures
NameTimeMethod
· To compare intra-operative hemodynamics 5, 10, 20 ,and every 30 min till stop of infusion <br/ ><br>· To compare no of episodes of hypotension / bradycardia <br/ ><br>· Recovery time-time to eye opening after switching off of inhalational agents (i.e. inspiratory inhalational agent- zero ) <br/ ><br>· Incidence of Postoperative nausea and vomiting in either groupTimepoint: Intraoperative and first 24 hours
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