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IRCT20200525047563N1 IRCT 2020-05-28 Iran University of Medical Sciences Comparison of relative frequency of post-operative urinary retention in two methods of spinal analgesia with and without opioid. Comparison of relative frequency of post-operative urinary retention in two methods of spinal analgesia with and without opioid. 2020-05-20 anticipated 80 Complete https://irct.ir/trial/48428 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: For randomization, a simple randomization method is used, which is done using a table of random numbers.To use the number of random numbers, we first determine the reading path of the table numbers (for example, top, bottom, left or right).Then we assume certain numbers for each group (for example, even numbers for intervention A and odd numbers for intervention B).Then we touch on one of the numbers and move in one of the predetermined directions and record the numbers and assign them to different groups, Blinding description: In this study, a person who is responsible for analyzing statistical data is not aware of the treatment process and study groups and the information is provided to that person in groups A and B. This helps the person's personal opinion not to affect the results. 3 Lower limb Orthopedic surgery. Intervention 1: Intervention group:To perform spinal anesthesia in the first group, first fluid therapy with normal saline injection serum up to 300 cc is performed. Then the patient is placed sitting or lying on his side. We explain the procedure to the patient and ask the patient to work with the anesthesia nurse by taking the knees and giving the abdomen inwards and sticking the chin to the chest. By observing these points by the patient, the injection site is better observed and identified. The skin is then sterilized with a gas and betadine and sterilized with white alcohol. Then, the specialist doctor inserts a spinal needle of the appropriate size in the designated space and injects 1.5-2 cc of marcaine (0.05%, produced by Cobel Darou) in addition to 25 micrograms of fentanyl. However, before injecting the drug, it is first pulled out of the liquid to ensure the correct location of the needle. Intervention 2: To perform spinal anesthesia in the second group, first fluid therapy with normal saline injection serum up to 300 cc is performed. Then the patient is sitting or lying on his side. We explain the procedure to the patient and ask the patient to work with the anesthesia nurse by taking the knees and giving the abdomen inwards and sticking the chin to the chest. By observing these points by the patient, the injection site is better observed and identified. The skin is then sterilized with a gas and betadine and sterilized with white alcohol. Then the specialist doctor enters the spinal needle with the appropriate size in the prescribed space and injects 2.5-2 cc of marcaine (0.05% produced by Cobel Darou) in that place. However, before injecting the drug, it is first pulled out of the liquid a little to ensure the correct entry of the needle. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no further information
public Azadeh Emami
Iran University of Medical Sciences., Hemmat Highway., Next to Milad Tower., Tehran Town
Tehran Iran (Islamic Republic of) 1433933111 +98 21 2237 0673 azi_emami@yahoo.com Iran University of Medical Sciences scientific Azadeh Emami
Iran University of Medical Sciences., Hemmat Highway., Next to Milad Tower., Tehran Town
Tehran Iran (Islamic Republic of) 1433933111 +98 21 2237 0673 azi_emami@yahoo.com Iran University of Medical Sciences Iran (Islamic Republic of) Patients are candidates for lower limb orthopedic surgery Patients are candidates for anorectal surgery no limit no limit Both Patients with a history of urinary problems Patients with a history of diabetes Pregnant women Y79.3 Surgical instruments, materials and orthopedic devices (including sutures) associated with adverse incidents Treatment - Drugs Treatment - Drugs Intervention group:To perform spinal anesthesia in the first group, first fluid therapy with normal saline injection serum up to 300 cc is performed. Then the patient is placed sitting or lying on his side. We explain the procedure to the patient and ask the patient to work with the anesthesia nurse by taking the knees and giving the abdomen inwards and sticking the chin to the chest. By observing these points by the patient, the injection site is better observed and identified. The skin is then sterilized with a gas and betadine and sterilized with white alcohol. Then, the specialist doctor inserts a spinal needle of the appropriate size in the designated space and injects 1.5-2 cc of marcaine (0.05%, produced by Cobel Darou) in addition to 25 micrograms of fentanyl. However, before injecting the drug, it is first pulled out of the liquid to ensure the correct location of the needle. To perform spinal anesthesia in the second group, first fluid therapy with normal saline injection serum up to 300 cc is performed. Then the patient is sitting or lying on his side. We explain the procedure to the patient and ask the patient to work with the anesthesia nurse by taking the knees and giving the abdomen inwards and sticking the chin to the chest. By observing these points by the patient, the injection site is better observed and identified. The skin is then sterilized with a gas and betadine and sterilized with white alcohol. Then the specialist doctor enters the spinal needle with the appropriate size in the prescribed space and injects 2.5-2 cc of marcaine (0.05% produced by Cobel Darou) in that place. However, before injecting the drug, it is first pulled out of the liquid a little to ensure the correct entry of the needle. Urinary retention. Timepoint: after surgery. Method of measurement: Ask the patient. Complaints of incomplete urination. Timepoint: After surgery. Method of measurement: Ask the patient. Iran University of Medical Sciences Approved 2020-05-18 Ethics committee of Iran University of Medical Sciences Iran University of Medical Sciences., Hemmat Highway., Next to Milad Tower., Tehran Town Tehran Tehran Iran (Islamic Republic of)