Renal Insufficiency, Chronic, Acute Pain, Kidney Transplantation, Anesthesia, Conduction
Conditions
Keywords
Renal Transplantation, Acute pain, Regional Anesthesia, TAP Block
Brief summary
The objective of this study is to evaluate the efficacy and safety of transverse abdominal plane block in patients undergoing renal transplant surgery.Adult renal transplant recipients will be prospectively randomized to receive a standard general anesthetic technique supplemented with ropivacaine 0.375% 20 mL TAP block or sham block with 20 mL 0.9% saline. Both groups will receive patient-controlled morphine analgesia. Patient assessment will occur in the postanesthetic care unit and at 1, 2, 4, 6, 12, and 24 hours. The primary outcome is total morphine consumption in the first 24 hours after renal transplantation. Other outcomes asses include pain scores, presence of nausea or vomiting, excessive sedation, and respiratory depression.
Interventions
It will be performed a ultrasound-guided transverse abdominal plane block with 20 ml of 0.375% of ropivacaine for patients submitted to renal transplantation
t will be performed a ultrasound-guided transverse abdominal plane block with 2o mL of saline for patients submitted to renal transplantation
Sponsors
Study design
Eligibility
Inclusion criteria
* end-stage renal disease undergoing cadaveric renal transplantation
Exclusion criteria
* Contraindications to the use of morphine * Contraindications to the use ropivacaine * Peripheral neuropathy * Inability to use a Patient Control Analgesia device
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Morphine Consumption | 24 hours post-operative | Patient Control Analgesia: morphine sulfate 2 mg IV every 5 minutes until visual analog scale pain score (0 = no pain, 10 = worst possible pain) is 3 or less, and continued at the following settings for a 24-hour period: 1 mg bolus, 7-minute lockout, and 30 mg maximum 4-hourly dose. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain Score | 24 hours post-operative | Visual analogue score (VAS) at rest and movement |
Countries
Brazil