Lumbar Epidural Analgesia Versus Local Anesthesia With Dexmedetomidine Infusion in Endoscopic Lumbar Discectomy
NCT05850455 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 78
Last updated 2023-12-06
Summary
To compare between local anesthesia combined with intravenous Dexmedetomidine and epidural analgesia as regard the effectiveness and patient satisfaction during percutaneous transforaminal endoscopic discectomy.
Conditions
- Lumbar Disc Herniation
Interventions
- DRUG
-
Dexmedetomidine Hydrochloride 'Precedex' combined with
Dexmedetomidine Hydrochloride which is an Alfa 2 receptor agonist
- PROCEDURE
-
Lumbar epidural analgesia with Bupivacaine 0.25% 'Sunnypivacaine'
The epidural insertion point will be 2 segments upper than the surgical procedure level, 10 ml of Bupivacaine 0.25% will be injected in the epidural space to adjust the sensory level
- PROCEDURE
-
General anesthesia
Propofol 2-3 mg/kg'Diprivan 1%', Fentanyl 'Fentanyl' 2 μg/kg, and Cisatracurium 'Cisatracure' 0.2 mg/kg will be administered to facilitate endotracheal intubation, and ventilation will be controlled to maintain the end-tidal carbon dioxide (CO2) between 32-38 mmHg, to maintain anesthesia, 2-3% Sevoflurane 'Sevoflurane', and 0.05 mg/kg of the muscle relaxant Cisatracurium will be added at 40-minute intervals according to the conditions of the operation. No other medication will be administered
- DRUG
-
Local infiltration with Lidocaine HCL 1%'Debocaine'
Lidocaine 1% which is a local analgesic as local infiltration
Sponsors & Collaborators
-
Ain Shams University
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 50 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-05-20
- Primary Completion
- 2023-11-30
- Completion
- 2023-11-30
Countries
- Egypt
Study Locations
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