Wound
Conditions
Brief summary
Pain control is an important part of patients' care after a kidney transplant. Currently patients receive a one off injection of Local Anaesthetic (LA) in the wound at the end of the operation followed by Intravenous morphine through a Patient Controlled Analgesia System (PCAS), a button pressed to provide a calculated dose with lock out times for safety. Through this study the aim to test the efficiency of Continuous Local Anaesthetic Infiltration via Wound Catheter (LAWC) which is a method to deliver Local Anaesthetic over a longer period of time after the operation. LAWC are currently in use in a variety of surgical specialities including Liver surgery. Patients participating in this study will be allocated randomly to one of 2 groups; one will receive LA at the end of the operation as per current practice and one will receive LAWC. It then compare outcomes such as the the dose of morphine required in the PCAS, quality of pain control and improvement in recovery.
Interventions
DEVICELocal Anaesthetic Wound Catheter Insertion
Use of the Local Anaesthetic Wound Catheter Insertion during kidney transplant
Sponsors
The Leeds Teaching Hospitals NHS Trust
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Inclusion criteria
* Primary kidney transplantation * Single kidney transplantation * Signed informed Consent
Exclusion criteria
* Midline laparotomy * Dual kidney transplantation * Kidney re-transplantation * Multi-organ transplantation * Patients on Long term opiates * Patients with psychiatric illness
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total Dose of IV Morphine in the first 24 hours post op | 24 hours | Measurment of the dose delivered in 24 hours |
Countries
United Kingdom
Contacts
Primary ContactSonsoles Martinez-Lopez
Outcome results
None listed