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The aim of this study is to investigate the role of 0.5 micrograms/kg of dexmedetomidine with 0.2 % ropivacaine in erector spinae block in reducing opioid consumption for patients undergoing lumbar spine surgeries. This study will help in understanding the role of adding dexmdetomidine to ropivacaine in erector spinae block in reducing opioid consumption after lumbar spine surgeries
A number of adjuvants have been used with local anesthetics including dexamethasone, nalbuphine and dexmedetomidine etc with the aim of improving quality and duration of peripheral nerve blocks. Dexmedetomidine is a potent alpha-2 agonist which can prolong the duration of regional anesthesia block when used in combination with local anesthetics. Although, there is no consensus on the dose of dexmedetomidine for peripheral nerve block considering the fact that it can lower heart rate and blood pressure intraoperatively. Investigators therefore, planned this randomised controlled trial to investigate the role of 0.5 micrograms/kg of dexmedetomidine with 0.2 % ropivacaine in erector spinae block for patients undergoing lumbar spine surgeries.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ESPB group | Experimental | this group will receive ESPB using ropivacaine and dexmedetomidine |
|
| Control group | No Intervention | this group will not receive any block |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ESPB (regional Block) | Other | ESPB is regional block in which we will use 0.2 % ropivacaine and dexmedetomidine |
|
| Measure | Description | Time Frame |
|---|---|---|
| 24 hours opioid consumption | opioid consumption in mg during first 4 hours postoperatively | 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| pain score | pain score in Numerical rating score during first 24 hours postoperatively | 24 hours |
| Occurrence of postoperative nausea and vomiting (PONV) | Occurrence of postoperative nausea and vomiting (PONV) during first 24 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Anwar ul huda, FRCA | Contact | 00966118024331 | 4331 | hudaanwar90@yahoo.com |
| Name | Affiliation | Role |
|---|---|---|
| Anwar ul Huda, FRCA | Security Forces Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Security Forces Hospital | Recruiting | Riyadh | Saudi Arabia |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| ID | Term |
|---|---|
| D000077212 | Ropivacaine |
| D020927 | Dexmedetomidine |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
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2 groups, one with block and other with no block
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Procedure will be done after patient will undergo GA for surgery. Medications will be prepared by anesthetist not involved in the study. The nurse/doctor who will assess the outcome will not know the group allocation
| ropivacaine and dexmedetomidine | Drug | 0.2 % ropivacaine and dexmedetomidine |
|
| 24 hours |
| Occurrence of drowsiness | Occurrence of drowsiness in 24 hours will be recorded | 24 hours |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D000588 |
| Amines |
| D007093 | Imidazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |