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Comparison of Intrathecal Nalbuphine Versus Intrathecal Tramadol as Adjuvants in Subarachnoid Block for Lower Limb Orthopaedic Surgeries
Sponsor: CMH Lahore Medical College and Institute of Dentistry
Summary
This study compares the use of intrathecal nalbuphine versus intrathecal tramadol as adjuvant agents to local anaesthetics in subarachnoid block for lower-limb orthopaedic surgeries. The primary objective is to determine whether there is a meaningful difference between the two drugs in terms of quality and duration of intraoperative and postoperative analgesia. Secondary outcomes include onset and efficacy of sensory and motor block, time to first rescue analgesia, incidence of adverse effects, and perioperative hemodynamic stability. By evaluating these parameters, the study aims to identify which adjuvant provides superior analgesic benefits with fewer side effects in patients undergoing lower-limb orthopedic procedures.
Key Details
Gender
All
Age Range
18 Years - 65 Years
Study Type
INTERVENTIONAL
Enrollment
40
Start Date
2026-01-01
Completion Date
2026-08-01
Last Updated
2026-03-18
Healthy Volunteers
Yes
Conditions
Interventions
Intrathecal tramadol with spinal anesthsia
intrathecal tramadol 20mg with Hyperbaric 0.5% bupivacaine
Intrathecal nalbuphine and spinal anesthesia
intrathecal nalbuphine 1mg with 0.5% Hyperbaric Bupivacaine
Locations (1)
Combined Military Hospital Lahore
Lahore, Pakistan