Prone Position Emergence From Anaesthesia in Lumbar Disc Surgery

NCT01441700 | Completed

• 2 other identifiers: SMC/CT/1/2010KVGMCH/CT/1/2010
• Study Type: interventional
• Target: 50
• Locations: 0 countries
• Sites: N/A

Brief Summary

Compare haemodynamic changes and to evaluate the incidence of coughing, laryngospasm, loss of monitoring in patients undergoing lumbar disc surgery extubated in prone position and supine position.

Conditions

Haemodynamic Changes During During Emergence; Airway Response During Emergence; Monitor Disconnection During Emergence

Keywords

Prone emergence; supine emergence; coughing; haemodynamic stimulation; lumbar surgery

Outcome Measures

Primary Outcomes (2)

• Heart rate changes from conclusion of surgery to extubation

  Heart rate and mean arterial pressure were recorded each minute till extubation Coughs, vomiting, laryngospasm and monitor disconnections were also recorded from conclusion of surgery (T0) till extubation.

  From conlusion surgery to extubation of patient

• Mean arterial pressure changes during emergence from anaesthesia

  Heart rate and mean arterial pressure were recorded each minute till extubation Coughs, vomiting, laryngospasm and monitor disconnections were also recorded from conclusion of surgery (T0) till extubation.

  From conclusion of surgery to extubation

Study Arms (2)

Prone position

ACTIVE COMPARATOR

Procedure: Prone and Supine emergence from anaesthesia

Supine position

ACTIVE COMPARATOR

Procedure: Prone and Supine emergence from anaesthesia

Interventions

Prone and Supine emergence from anaesthesia PROCEDURE

Aims: The aim of this study was to compare haemodynamic changes and to evaluate the incidence of coughing, laryngospasm, loss of monitoring in patients undergoing lumbar disc surgery extubated in prone position and supine position. Settings and design: This open-level prospective randomized study was carried out in 50 patients who were admitted for elective lumbar surgery. Methods: The patients were randomly allocated to one of the two groups of 25 each at conclusion of surgery. First group was extubated in prone position and second in supine position at conclusion of surgery. Supine group patients were rolled back and prone group patients were left undisturbed. Extubation was done after complete reversal of neuromuscular block. Heart rates, Mean Arterial Pressure were noted at various points of time. Coughing, laryngospasm, vomiting, monitor disconnection if any were also noted. Statistical methods: Data was analyzed using

Prone position; Supine position

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• age between 18-60 years
• prone surgery
• lumbar disc surgery

You may not qualify if:

• suspected difficult airway,
• risk factors for perioperative aspiration,
• chronic coughing,
• recent history of respiratory tract infection,
• chronic obstructive lung disease and
• obesity

Sponsors & Collaborators

• KVG Medical College and Hospital: lead

MeSH Terms

Conditions

Cough

Interventions

Prone Position

Condition Hierarchy (Ancestors)

Respiration Disorders; Respiratory Tract Diseases; Signs and Symptoms, Respiratory; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Posture; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• SHIVAKUMAR MC, MD

  KVG Medical College and Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant professor

Study Record Dates

• First Submitted: September 24, 2011
• First Posted: September 28, 2011
• Study Start: August 1, 2010
• Primary Completion: August 1, 2011
• Study Completion: September 1, 2011
• Last Updated: September 28, 2011

Record last verified: 2011-09