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Effects of acute postoperative pain management on the body's stress response

Not Applicable
Conditions
Postoperative pain after lumbotomy incision
Registration Number
SLCTR/2012/005
Lead Sponsor
The Ministry of Science, Education, and Sports of the Republic of Croatia
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
Not specified
Target Recruitment
Not specified
Inclusion Criteria

Adult patients (aged more than 18 years) ASA I and II undergoing open kidney surgery with lumbotomy (nephrectomy, nephrolithotomy, pyeloplastic surgery, kidney resection, adrenalectomy).

Exclusion Criteria

Patients with ASA III and IV, diabetes mellitus, advanced cancer, psychiatric disorders, cognitive deficits, and taking immunosupressive therapy

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Differences between three groups in the levels of metabolic markers (leukocyte count, lymphocyte count, CRP, fibrinogen, and blood glucose), stress hormones (prolactin, cortisol, adrenalin), and cytokines (interleukin IL-1, IL-6, IL-1RA). [Preoperatively and 4, 24, and 48 hours after induction of analgesia.]<br>
Secondary Outcome Measures
NameTimeMethod
Decrease in the visual analogue scale (VAS) score; changes in clinical status (ECG, SaO2, BP, HR), and occurence of complications (atelectasis, pneumonia). [Every 4 hours in the first 48 hours postoperatively.]<br>
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