The purpose of this study is to determine whether administration of a non-centrally acting muscle relaxants will improve the Overall Benefit of Analgesia Score (OBAS), and Richmond Agitation Sedation Scale (RASS) scores in patients undergoing lumbar fusion.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
90
muscle relaxant
inactive pill
Beth Israel Deaconess Medical Center
Boston, Massachusetts, United States
Overall Benefit of Analgesia Score (OBAS)
OBAS scores will be recorded on a scale from 0 (best outcome) to 28 (worst outcome).
Time frame: Measured at 24 hours after surgery
Overall Benefit of Analgesia Score (OBAS)
OBAS scores will be recorded on a scale from 0 (best outcome) to 28 (worst outcome).
Time frame: Measured at 48 hours after surgery
Richmond Agitation Sedation Scale (RASS)
The Richmond Agitation and Sedation Scale (RASS) is a validated and reliable method to assess patients' level of sedation in the intensive care unit. Scores range from +4 (combative) to -5 (unarousable). A score of 0 (alert and calm) is considered the best outcome.
Time frame: Measured at 24 and 48 hours after surgery
Numerical Rating Scale (NRS) for Pain
Pain scores will be recorded on a scale from 0 (best outcome) to 10 (worst outcome).
Time frame: Measured at 0, 1, 2, 3, 24, 48 hours after surgery
ICU Length of Stay
The length of the patients stay in the ICU will be measured in hours
Time frame: Until discharge from the hospital, on average 24 hours
Hospital length of stay
The length of the patients stay in the hospital will be measured in days
Time frame: Until discharge from the hospital, on average three days
Benzodiazepine use postoperatively
The number of patients who receive benzodiazepines after surgery will be recorded.
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Time frame: Until discharge from the hospital, on average three days
Morphine Equivalent Dose
The postoperative analgesia requirement of narcotic medications during the patients recovery will be measured in morphine equivalent dose (miligrams)
Time frame: Duration of the patient's stay in the hospital, on average three days
ICU Mobility Score
The patients ability to move will be recorded on a scale from 0 (nothing, lying in bed; worst outcome) to 10 (walking independently without a gait aid; best outcome).
Time frame: Measured at 24 and 48 hours after surgery