Status:

COMPLETED

Influence Of Low Dose Intrathecal Naloxone On Bupivacaine - Fentanyl Spinal Anaesthesia For Lower Limb Orthopedic Surgery In Elderly Patients

Lead Sponsor:

Kasr El Aini Hospital

Collaborating Sponsors:

Mansoura University

Conditions:

Anesthesia, Spinal

Elderly

Eligibility:

All Genders

60-90 years

Phase:

NA

Brief Summary

Fentanyl is a safer alternative than morphine in the management of postoperative pain in elderly. However, pruritus, nausea and vomiting are unwanted side effects of intrathecal fentanyl administratio...

Detailed Description

The aim of this study is to evaluate the effect of adding low dose intathecal naloxone to bupivacaine - fentanyl spinal anesthesia in elderly patients scheduled for unilateral lower limb orthopedic su...

Eligibility Criteria

Inclusion

  • Age ≥ 60y of either gender.
  • ASA physical status III or below.
  • Patients scheduled for elective unilateral lower limb orthopedic surgery.

Exclusion

  • Morbid obese patients.
  • Severe or uncompensated cardiovascular, renal, hepatic or endocrinal diseases.
  • Allergy to one of the agents used.
  • Severely altered consciousness level.
  • Coagulopathy
  • Increased intracranial pressure
  • Neuromuscular diseases
  • Severe spinal deformity
  • Patients on opioid analgesics or opioid abuse
  • Multi traumatized patients
  • Patients with preoperative Mini Mental State Examination ( MMSE ) scoring \< 24

Key Trial Info

Start Date :

December 10 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 10 2021

Estimated Enrollment :

92 Patients enrolled

Trial Details

Trial ID

NCT04673812

Start Date

December 10 2020

End Date

March 10 2021

Last Update

March 16 2021

Active Locations (1)

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Page 1 of 1 (1 locations)

1

Kasralainy

Cairo, Egypt