Condition 1: Acute post-operative pain. Condition 2: nephrectomy. Acute pain acquired absence of kidney
Conditions
Interventions
Intervention 1: Lumbar epidural catheter placement and injection a total volume of15cc including 4cc bupivacaine 0.5% and 11cc pure water before induction of anesthesia. Intervention 2: perform unilat
Prevention
Lumbar epidural catheter placement and injection a total volume of15cc including 4cc bupivacaine 0.5% and 11cc pure water before induction of anesthesia
perform unilateral TAP block at the site of surgery and injection a total volume of15cc including 4cc bupivacaine 0.5% and 11cc pure water after induction of anesthesia and 10 minutes before surgical
Sponsors
Anesthesiology Research Center, Labbafinejad Hospital, 9th Boostan, Pasdaran, Tehran, Iran
Eligibility
Sex/Gender
All
Age
20 Years to 60 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria would be as follows: 1- ASA class I to II 2- Renal surgeries including open nephrectomy, radical nephrectomy, open surgery for renal or ureteral stones. Exclusion criteria are as follows: 1- Long lasting surgery (more than three hours) 2- Chronic use of opioid 3- Complications such as severe hemorrhage 4- Intractable nausea and vomiting 5- Two episodes of intractable pain 6- More drug prescriptions other than protocol 7- Difficult airway 8- Drug allergy 9- Diabetes mellitus, Pregnancy, morbid obesity
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Post operative pain. Timepoint: 24 hours after sugery. Method of measurement: VRS(Verbal Rating Scale).;Opioid use after surgery. Timepoint: 24 hours after sugery. Method of measurement: mg. | — |
Secondary
| Measure | Time frame |
|---|---|
| Bradypnea (RR <10). Timepoint: after opioid use. Method of measurement: continuous observation.;Itching. Timepoint: after opioid use. Method of measurement: observation.;Vomiting. Timepoint: after opioid use. Method of measurement: observation.;Hemorrhage during surgery. Timepoint: after intervention,during surgery. Method of measurement: observation (ml).;Hospital stay. Timepoint: after intervention. Method of measurement: patient file information. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactBabak Gharaei
Anesthesiology Research Center , Labbafinejad Hospital, 9th Boostan, Pasdaran, Tehran, Iran
Outcome results
None listed