Kidney Injury
Conditions
Keywords
postoperative analgesia, fascial blocks, nephectomy
Brief summary
Performing the nephrectomy by laparoscopy has decrease the incidence of postoperative pain, but there are still some patients who describe a severe pain after this surgery. Regional techniques allow a better recovery quality and adequate- managed pain control.
Detailed description
Adequate control of pain in patients with nephrectomy is a challenge for the anesthesiologist who must achieve an early recovery with minimal adverse effects. Within a multimodal strategy, the work hypothesis is based on comparing the analgesic efficacy of two regional techniques in patients undergoing nephrectomy, in terms of quality of postoperative recovery, pain control, absence of adverse effects and ease of performance.
Interventions
We performe a differnt analgesic techniques to know if some of then are better
using the same AL
Sponsors
Study design
Eligibility
Inclusion criteria
* signature of informed consent * age \> 18 years * ASA risk scale \< IV * Scheduled to nephrectomy.
Exclusion criteria
* Patients with cognitive impairment or inability to sign informed consent, * Refused to participate * Hypersensitivity to the drugs used * contraindication of regional technique (coagulopathy, infection) * history of chronic pain.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| pain control and quality life.Numeric rating scale (NRS) | 24 postoperative hours | To assess whether SIPB is superior in pain control |
| QoR15 | 24hours | Postoperative quality recovery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Opioids consumption | 48 hours | Second outcomes was to know the consumption of intaoperative fentanyl and postoperative morphine and their side effects |
| Side effects | 24hours | We assessed the side effects of opioids |
Other
| Measure | Time frame | Description |
|---|---|---|
| control | 24 hours | Third outcome will be to know if both blocks control pain better than control group |
Countries
Spain