Pain
Conditions
Keywords
Percutaneous nephrolithotomy, postoperative analgesia, peritubal block, pain, Visual Analog Pain Scale
Brief summary
Patients may feel significant pain at the surgery site after they wake up from the surgery. Usually pain is managed in the ward by giving strong pain medication that may slow down your mobilization and recovery process. Some recent work in other countries has shown that if investigator give patients an injection at the end of the operation, patients have less need for pain medication when they wake up. If investigator find that is also true in our population, then we can use this method as routine step after this operation to improve pain management and early mobilization of our patients
Interventions
DRUGBupivacaine
23 G spinal needle will be introduced along the nephrostomy tube for peri-tubal infiltration of 10 ml of 0.25 % Bupivacaine into renal capsule to skin.
OTHERNormal saline infiltration
23 G spinal needle will be introduced along the nephrostomy tube for peri-tubal infiltration of 10 ml of normal saline into renal capsule to skin
Sponsors
Indus Hospital and Health Network
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Age 18-60 years of age * Single PCNL track
Exclusion criteria
* Spinal Disc Prolapse * Any previous renal surgery * Complication secondary to PCNL * Hydrothorax that requires intervention * Pneumothorax * Massive hemorrhage that requires more than 1 U transfusion * Conversion to open procedure.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mean time for first demand of rescue analgesic | Release of the patient from the hospital or 24 hours (whichever comes first) | Mean time for first demand defined as the difference in time between the first time rescue medications is given to patient in post-operatively and the time the infiltration took place intra-operatively |
Countries
Pakistan
Contacts
Primary ContactZeeshan Arshad, MBBS
Backup ContactNaila Baig-Ansari, PhD
Outcome results
None listed