Intrathecal Fentanyle Versus Dexamethasone in Gynacological Laparoscopic Surgeries

Assiut University120 enrolled

Overview

Laparoscopy was first introduced to the medical field of in the middle of the last century. It revolutionized the surgical interventions; it reduced the total medical expenditures and hastened postoperative recovery . General anaesthesia (GA) was considered the only anesthetic technique suitable for laparoscopic interventions, and several myths and facts prevented regional anaesthesia (RA) implementation. Respiratory and Cardiovascular impairment were the main aspects of concern which are thought to be best controlled by GA

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

QUADRUPLE

Enrollment

120

Conditions

Intraoperativ Pain

Interventions

intrathecal fentanyleDRUG

25 mic fentanyle added to heavy bupivacaine for spinal anesthesia

dexamethasoneDRUG

8 mg dexamethasone give intrathecally for spinal anaesthesia

salineDRUG

normal saline will be mixed with bupivacaine intrathecally

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 40 Years

Medical Language ↔ Plain English

Inclusion Criteria: * ASA I, II * elective gynacological laparoscopic surgery Exclusion Criteria: * patient refusal * chronic kidney and hepatic diseases

Locations (1)

Assiut university

Asyut, Egypt

Outcomes

Primary Outcomes

intraoperative pain

pain measured by VAS score =from 0 to 10 0-3 is mild pain 3-6 moderate pain 6-10 sever pain

Time frame: 60 minutes

Data from ClinicalTrials.gov

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