Caudal Epidural With Non Opioid Adjuvants in Lumbosacral Spine Surgery
Status:
Completed
Trial end date:
2021-05-06
Target enrollment:
Participant gender:
Summary
Lumbosacral spine surgeries are accompanied with severe postoperative pain which has a
negative effect on patients' recovery. Preemptive analgesia before lumbosacral spine
surgeries should be implemented to prevent CNS plasticity and to provide effective pain
relief.
The most common way to provide pain management after spine surgery is the intravenous
analgesia. Caudal epidural analgesia can be a highly effective method for postoperative pain
relief.
The most common way to provide pain management after spine surgery is the intravenous
analgesia. Caudal epidural analgesia can be a highly effective method for postoperative pain
relief. acting drugs last from 4-8 hours,But this can be prolonged by adding non opioid
adjuvants like steroid( dexamethazone,betamethasone), alpha2 agonists (clonidine,
dexmedetomidine), or their combination. This study will compare adding different non opioid
adjuvants to bupivacaine in caudal epidural for preventive analgesia in lumbosacral spine
surgery which can be a part of multimodal analgesia protocol.
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