Nephrectomy, Regional Anesthesia Morbidity
Conditions
Keywords
nefrectomy, erector spinea plane block
Brief summary
The efficacy of erector spinae plane block versus intravenous analgesics compared relate to the morphine consumptions
Detailed description
Patients undergoing elective nefrectomy were enrolled. Patients divided into two groups with a sealed envelope technique to ESP+ pca morphine group or iv analgesic + pca morphine group. All patients will premedicated. then esp will applied to one group before surgery at the preoperative care unit by the same anesthesiologist. The other group will receive intravenous tramadol 1 mg/kg + NSAID 1 ampule + parol 10 mg/ kg + ondansetron 4 mg bolus. İntravenous morphine pca with a concentration of 0.5 mg/cc were applied. And administered 1 mg boluses every 15 minutes lock time and 4 hour limit as 4 mg arranged. An anesthesia nurse who is responsible of all pcas' in the hospital was recorded the variables of these patients in the service
Interventions
erector spinae plane block applied in this group before open nephrectomy
intarvenous analgesic administered in this group for analgesia end of the open nephrectomy
Sponsors
Study design
Eligibility
Inclusion criteria
18-65 years age * ASA I-II * undergoing elective nephrectomy
Exclusion criteria
- ASA\>3 * heart disease * pregnancy * lung disease * scoliosis * bleeding disorder * infection at the manipulation side
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative intravenous morphine patient controlled analgesia consumption | during postoperatively | morphine consumptions were recorded till 24 th hour postoperatively |
| Peroperative remifentanyl consumption | Peroperatively | Amount of Remifentanyl consumption recorded |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual analog rating scores | during postoperative surgery | pain scores were recorded during surgery |
Countries
Turkey (Türkiye)