Laparoscopic Nephrectomy
Conditions
Keywords
laparoscopy, nephrectomy, erector spina plan block, transversus abdominis plan block, morphine consumption, analgesia
Brief summary
Nephrectomy pain was higher. erector spina plan block and transversus abdominis plan block had shown to be effective in abdominal surgeries. This study aimed to compare these two bloc analgesic efficacy in laparoscopic nephrectomy patients. The primary aim is postoperative morphine consumption.
Detailed description
Patients ASA 18-65 who will undergo laparoscopic nephrectomy are included in this prospective randomized clinical trial. Patients will be divided into two groups; erector spina and transversus abdominis plane block. Anesthesia will. induced with propofol, fentanyl, and rocuronium will be administered for muscle relaxation. Bispectral index monitoring will be used for monitorisation of the depth of anesthesia. Remifentanil was used during the whole procedure. the amount of consumption will be recorded. Patient-controlled device will be used with morphine. The postoperative morphine consumption will also be recorded.
Interventions
PROCEDURElaparoscopic nephrectomy
laparoscopic nephrectomy
Sponsors
Kocaeli University
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
DIAGNOSTIC
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
Participants will not know which block was administered outcome assessors will not know which block was administered
Intervention model description
erector spina and transversus abdominis plane blocks
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* 18-65 age * patients undergoing laparoscopic nephrectomy * ASA 1-3
Exclusion criteria
* \<18- \>65 \< age * patients undergoing open nephrectomy * ASA 4-5
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative morphine consumption | 24 hour postoperatively | morphine patient controlled analgesia was applied to the patients |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Peroperative remifentanil consumptions | peroperatively | continious remifentanil infusion was applied |
| postoperative analgesia numeric rating scales | postoperative 24 hours | patients will give numbers to their pain first hour, 6th hour and 24 th hour after surgery |
Countries
Turkey (Türkiye)
Contacts
Primary ContactZehra Arslan
Backup ContactZehra Arslan
Outcome results
None listed