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IRCT2013090114333N6 IRCT 2013-10-11 Kermanshah University of Medical Sciences Comparison of the level and duration of anesthesia and analgesia in usual and unilateral spinal punctures Comparison of the level and duration of anesthesia and analgesia in usual and unilateral spinal punctures 2013-05-22 anticipated 92 Complete https://irct.ir/trial/13942 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment. N/A spinal anesthesia. Intervention 1: Group A: received 10 mg Bupivacaine % 5/0 (2cc) in the sitting position at the L4-L3 or L4-L5 with Quincke needle size 24 within the cranial direction of needle in 10 seconds then the patient was rapidly being laid and operation started 15 minutes after. Intervention 2: Group B: received 10 mg Bupivacaine % 5/0 (2cc) in lateral decubitus position with the same site, needle and size in 30 seconds while the side of surgery was at bottom (dependent) through hole needle shifted to the bottom. Patients would remain 15 minutes in lateral position and they were operated in supine position. Intervention 3: Group C: received 8 mg of Bupivacaine % 5/0 (1/6CC) in lateral decubitus position as same as the second group. Treatment: drugs.
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scientific Dr. Mitra Yari
Emam Reza Hospital,Razi Boulvard,Sorkhleje
Kermanshah Iran (Islamic Republic of) +98 83 1427 6309 myari@kums.ac.ir Kermanshah University of Medical Sciences Iran (Islamic Republic of) Major inclusion criteria: consist of patients between 20 and 60 years old; have been chosen electively for lower extremities surgery; in the ASA class I and II. Major exclusion criteria: consist of patients weren’t in ASA class I and II; didn’t sign the written consent; contraindicated patients for spinal anesthesia. 20 years 60 years Both O74 Complications of anaesthesia during labour and delivery Treatment - Drugs Treatment - Drugs Treatment - Drugs Group A: received 10 mg Bupivacaine % 5/0 (2cc) in the sitting position at the L4-L3 or L4-L5 with Quincke needle size 24 within the cranial direction of needle in 10 seconds then the patient was rapidly being laid and operation started 15 minutes after. Group B: received 10 mg Bupivacaine % 5/0 (2cc) in lateral decubitus position with the same site, needle and size in 30 seconds while the side of surgery was at bottom (dependent) through hole needle shifted to the bottom. Patients would remain 15 minutes in lateral position and they were operated in supine position. Group C: received 8 mg of Bupivacaine % 5/0 (1/6CC) in lateral decubitus position as same as the second group. Treatment: drugs Blood pressure. Timepoint: In first five minutes every two minutes ,after every 5 minutes to an hour in all three groups. Method of measurement: by monitoring device. Heart rate. Timepoint: In first five minutes every two minutes after every 5 minutes to an hour in all three groups. Method of measurement: by monitoring device. Level of anesthesia. Timepoint: In first five minutes every two minutes ,after every 5 minutes to an hour in all three groups. Method of measurement: contact of cotton with skin. Level of analgesia. Timepoint: Every 15 minutes to an hour after spinal. Method of measurement: pinprick test. Level of motor block. Timepoint: In first five minutes every two minutes ,after every 5 minutes to an hour in all three groups. Method of measurement: Modified bromage test. Duration of analgesia. Timepoint: Every 15 minutes to an hour after spinal. Method of measurement: visual Analouge Scale (Vas). Level of sympathetic block. Timepoint: In first five minutes every two minutes ,after every 5 minutes to an hour in all three groups. Method of measurement: alcoholic cotton. Duration of anesthesia. Timepoint: In first five minutes every two minutes,after every 5 minutes to an hour in all three groups. Method of measurement: Interval Between Spinal Block to decrease to dermatomes. Kermanshah University of Medical Sciences Approved 2013-05-04 Vice Chancellor for Research Affairs, Kermanshah University of Medical Sciences Building No.2, Shahid Beheshti, Vice Chancellor for Research Affairs, Kermanshah University of Medical Sciences Kermanshah Iran (Islamic Republic of)