Comparison of efficacy of Thoracic segmental spinal anaesthesia and General anaesthesia for patients undergoing Laparoscopic Appendicectomy
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- Changes in intraoperative Hemodynamic and Respiratory parameters such as Heart Rate,
研究概览
简要总结
This study compares the effectiveness of general anesthesia versus thoracic segmental spinal anesthesia for laparoscopic appendicectomy. Given the limited data on spinal anesthesia for this procedure, the research evaluates hemodynamic stability, postoperative analgesia, rescue analgesic requirements, surgeon satisfaction, muscle relaxation, and side effects such as postoperative nausea and vomiting (PONV), urinary retention, and shoulder tip pain. The goal is to determine whether spinal anesthesia offers benefits like reduced PONV, decreased postoperative pain, quicker mobilization, and better patient orientation post-surgery compared to general anesthesia.
Thus it will help anaesthetists to decide mode of anaesthesia for laparoscopic appencidecromy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18.00 Year(s) 至 65.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients weighing 40-80 Kgs.
- •Patient with height 140-180 cms.
- •American Society of Anesthesiology (ASA) grade 1 & 2 Patients posted for Laparoscopic Appendicectomy.
排除标准
- •Pregnant Females.
- •Patient with spine deformities.
- •Patient with any Coagulopathy or Bleeding Disorders.
- •Patients with allergy to local Anaesthetics.
- •Patient with History of Hypertension, Ischemic Heart disease, Valvular Heart diseases, Liver diseases, Renal or CNS diseases.
- •Patients with history of drug abuse.
结局指标
主要结局
Changes in intraoperative Hemodynamic and Respiratory parameters such as Heart Rate,
时间窗: at baseline and then upto 90 mins intraoperatively , and 24 hours post operatively.
Systolic blood pressure, Diastolic blood pressure, Mean Arterial Blood
时间窗: at baseline and then upto 90 mins intraoperatively , and 24 hours post operatively.
Pressure, SpO2, Respiratory Rate, EtCO2. Effect on post operative analgesia and requirement of post operative analgesics.
时间窗: at baseline and then upto 90 mins intraoperatively , and 24 hours post operatively.
次要结局
- Side effects such as Nausea, Vomiting, Shoulder tip pain, Urinary retention(during or after the surgery upto 24 hours)
研究者
Dr Mahir Kureshi
GMERS Medical college, Gandhinagar