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hyalase and dexmedtemodine are well known adjuvants given epidurally to alleviate chronic back pain. Use in failed back surgery is an up to date field to hasten analgesia and py off recurrence .
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| hyalase group | Active Comparator | Bupivacaine 5 mg (1 mL) + Triamcinolone 40 mg (1 mL) + Saline solution (2 mL) + Hyaluronidase 1,500 IU reconstituted in 1 mL distilled water (HYL) |
|
| dexmedtemodine group | Active Comparator | Bupivacaine 5 mg (1 mL) + Triamcinolone 40 mg (1 mL) + Saline solution (2 mL) + Dexmedetomidine 0.5 mic/kg |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hylase versus dexmedtemodine | Drug | fluroscopic guided lumber epidural injection |
|
| Measure | Description | Time Frame |
|---|---|---|
| pain assesment | Visual analogue scale... 0= no pain .... 10= worst pain | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| functional disability | Modified oswestry diability questionnaire. 0% to 20%: minimal disability:....21%-40%: moderate disability: 41%-60%: severe disability...61%-80%: crippled | 6 months |
| acute complications |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Maher Maher | ALMinya | Egypt | 6115 | Egypt |
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number of patients with epidural hematoma
| 6 hours |
| ID | Term |
|---|---|
| D059350 | Chronic Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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