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Robot-assisted radical prostatectomy: comparison of subarachnoid analgesia, erector spine plane block, and intravenous analgesia for postoperative pain management.

Not Applicable
Conditions
Postoperative pain after robot-assisted radical prostatectomy
Prostate cancer
Anaesthesiology - Pain management
Surgery - Other surgery
Cancer - Prostate
Registration Number
ACTRN12622000869774
Lead Sponsor
Pasquale Buonanno
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot yet recruiting
Sex
Male
Target Recruitment
60
Inclusion Criteria

Age greater than or equal to 18 years; American Society of Anesthesiologists (ASA) physical status I-III; Body Mass Index (BMI) < 35 kg/m2; diagnosis of prostate cancer.

Exclusion Criteria

Severe respiratory and cardiovascular deficits; neuromuscular deficits (such as S. Guillain-Barrè, SLA, myasthenia gravis, muscular dystrophy); Renal Failure (Creatinine Clearance < 60 mL/min/1,73m2); Liver Failure (Child-Pugh Score B and C); allergy to study medication; contra-indications to spinal anesthesia (such as severe valvular hearth disease, increased intracranial pressure, coagulation disorders, sepsis, patient refusal)

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Pain measured with numeric rating scale (NRS).[Every 15 minutes for the first hour postoperatively, and at 3, 6, 12 (primary endpoint), 24, and 48 hours post-surgery.]
Secondary Outcome Measures
NameTimeMethod
Bladder spasm assessed by a patient self reported 5 Likert scale: 1-no spasm; 2-mild; 3-moderate; 4- severe; 5- intolerable.[12 hours post-surgery];Intraoperative opioids consumption evaluated by accessing medication charts.[End of the surgery];Time between the end of surgery and the request for the first additional dose of analgesic determined by accessing medication charts[First 48 hours after surgery];Time to mobilization assessed by accessing nursing notes[First 48 hours after surgery];Patient satisfaction assessed by a 5-point Likert scale: 1-not at all satisfied; 2- poorly; 3- moderately satisfied; 4-satisfied; 5-very satisfied.[3, 6, 12, 24, 48 hours after surgery]
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