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Dexmedetomidine Versus Fentanyl as an Adjuvant to Bupivacaine in Saddle Block — saddle  

Regional Anesthesia Morbidity Clinical Trial

Official title:
Dexmedetomidine Versus Fentanyl as an Adjuvant to Bupivacaine in Saddle Block for Various Anal Surgeries: A Correlative Randomized Trial

Clinical Trial Summary

Dexmedetomidine is recommended over fentanyl as adjunctive medication to bupivacaine for saddle block spinal anesthesia in anal surgeries and procedures.

Clinical Trial Description

Objectives: A saddle spinal block is a viable choice for anal surgeries. This technique effectively maintains balanced hemodynamics, and fast recovery, and prevents irrelevant motor blocks in both limbs. Methods: Fifty-eight adult patients were categorized into two groups. Group FENT, consisting of 29 patients, underwent a saddle block with hyperbaric bupivacaine (2.5 ml) combined with fentanyl (0.5 ml; 25 μg). The DEX Group, consisting of 29 patients, received 2.5 ml of hyperbaric bupivacaine mixed with dexmedetomidine (10 μg; 0.5 ml). Continuous monitoring of HR and SpO2 was conducted. Evaluation of sensory blockage and the motor block was done utilizing the Bromage scale. Following surgery, assessments were conducted. Pain in the ward and PACU was determined utilizing the visual analog scale (VAS). ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT06216197
Study type Interventional
Source Zulekha Hospitals
Contact
Status Completed
Phase N/A
Start date April 3, 2021
Completion date December 4, 2022
View Details
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