Comparison of Erector Spinae Plane Block and Intravenous Analgesic in Nefrectomy
- Conditions
- Regional Anesthesia MorbidityNephrectomy
- Interventions
- Procedure: erector spinea plane block administered preoperative open nephrectomyProcedure: intravenous analgesic ( 1 mg/kg tramadol + non-steroid antiinflamatuar paracetamol )drug + 10 mg.kg
- Registration Number
- NCT04686890
- Lead Sponsor
- Kocaeli University
- 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
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 46
18-65 years age
- ASA I-II
- undergoing elective nephrectomy
- ASA>3
- heart disease
- pregnancy
- lung disease
- scoliosis
- bleeding disorder
- infection at the manipulation side
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description postoperative opiod (morphine) consumption erector spinea plane block administered preoperative open nephrectomy patient-controlled analgesia (15 minutes. lock time, 2 ml bolus= total 1 mg morphine intravenously, limited to maximum 4 bolus / per hour ) postoperative numerated rating scale erector spinea plane block administered preoperative open nephrectomy at the 1, 3, 6, 12 and 24 th hour postoperatively - numerated rating scale score was evaluated and recoded as 0= no pain (better), 10: unbearable pain (worse) postoperative numerated rating scale intravenous analgesic ( 1 mg/kg tramadol + non-steroid antiinflamatuar paracetamol )drug + 10 mg.kg at the 1, 3, 6, 12 and 24 th hour postoperatively - numerated rating scale score was evaluated and recoded as 0= no pain (better), 10: unbearable pain (worse) postoperative opiod (morphine) consumption intravenous analgesic ( 1 mg/kg tramadol + non-steroid antiinflamatuar paracetamol )drug + 10 mg.kg patient-controlled analgesia (15 minutes. lock time, 2 ml bolus= total 1 mg morphine intravenously, limited to maximum 4 bolus / per hour ) peroperative continuous opioid (remifentanil) consumption erector spinea plane block administered preoperative open nephrectomy continuous remifentanil infusion was given during the whole procedure peroperative continuous opioid (remifentanil) consumption intravenous analgesic ( 1 mg/kg tramadol + non-steroid antiinflamatuar paracetamol )drug + 10 mg.kg continuous remifentanil infusion was given during the whole procedure
- Primary Outcome Measures
Name Time Method 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 Outcome Measures
Name Time Method Visual analog rating scores during postoperative surgery pain scores were recorded during surgery
Trial Locations
- Locations (1)
Kocaeli University Medical Faculty
🇹🇷Kocaeli, Turkey