Assessment Of The Effects On Pain Free Period And Requirement Of Pain-Killer After Endoscopic Removal Of Kidney Using Either Ultrasound Guided Nerve Block In A Muscle Of Back ( Erector Spinae) Or An Epidural Block (A Space Of Spinal Region)

Not yet recruiting

• Conditions: Other disorders resulting from impaired renal tubular function, (2) ICD-10 Condition: O||Medical and Surgical,

• Registration Number: CTRI/2023/07/055370
• Lead Sponsor: Dr Amita Singh

Brief Summary

To Determine Which Of The Following Two Blocks: Ultrasound Guided Continous Erector Spinae Block And Epidural Block Is Superior For Postoperative Analgesia In Laparoscopic Nephrectomy. Nepherectomy Is A Surgical Procedure Done To Remove  Either A Diseased Or Healthy Kidney Via Open Or Laparoscopic Approaches. Acute Pain After Nephrectomy Remains A Major Problem. Chronic Pain Develops in 20 To 26 % Of Patients Undergoing Nephrectomy Leading To Higher Opiod Consumption With Many Adverse Effects.The Paravertebral Block And Epidural Block Are Common Blocks Used In Different Thoracic And Abdominal Surgeries With Some Complications.Studies Have Found That ESPB Affects Both The Ventral And Dorsal Rami, Leading To Blockage Of Both VIsceral And Somatic Pain. Because ESPB Is An Easy And Safe Method To Use, We Believe That It Is An Essential Part Of Anaesthesia Management For Nephrectomy. Thus We Have Planned A Comparative Study Of Continous ESPB Using A Catheter And Continous Epidural Block For Postoperative Analgesia In Laparoscopic Nephrectomy.

Detailed Description

Not available

Study Timeline

• Last Update Posted: 2023-07-17
• Study Start: 2023-07-25

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• ASA Physical Status I and II.
• Aged Between 18 To 65 Years.
• Patient Scheduled To Undergo Elective Laparoscopic Nephrectomy Under General Anaesthesia.

Exclusion Criteria

• Negative Consent/Refusal.
• Local Infection.
• Coagulopathies.
• Cardiovascular Disease, Respiratory Disease And Gastrointestinal Disorders.
• Psychiatric And Cognitive Disorders.
• Allergic To Study Drug Used.
• Spinal Dysraphism/Deformity.
• Chronic Opioid/Analgesic User.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Time Of Use Of First Dose Of Rescue Analgesia (Injection Tramadol 100 Mg Iv) Measured From Time Of Giving Block/Epidural.	Time Of Use Of First Dose Of Rescue Analgesia Within 24 Hours Period

Secondary Outcome Measures

Name	Time	Method
1.Cumulative dose of analgesics consumed in first 24 hours	after surgery.

Trial Locations

Locations (1)

King Georges Medical University; 🇮🇳 Lucknow, UTTAR PRADESH, India

King Georges Medical University

🇮🇳Lucknow, UTTAR PRADESH, India

Dr Vinod Kumar Srivastava

Principal investigator

9415795565

vinod123.doctor@gmail.com