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A comparative study of two pain relief techniques - An injection at the back with morphine(drug for pain relief) versus an abdominal wall injection for donor nephrectomy(donor kidney removal) surgeries

Phase 2
Completed
Registration Number
CTRI/2016/07/007110
Lead Sponsor
All India Institute of Medical Sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
60
Inclusion Criteria

1. Consenting voluntary kidney donors scheduled for laparoscopic donor nephrectomy

2. Understanding spoken English/ Hindi

3. Controlled co-morbid conditions (ASA I-II)

Exclusion Criteria

1. Refusal to participate

2. Pre-existing neuropathy

3. Morbid obesity

4. Contra indication to performance of spinal block, eg: local infection

5. Inability to understand spoken English/Hindi

6. Incapable of handling a PCA device

7. Known allergy to any of the study drugs

8. History of severe PONV or motion sickness

9. History of chronic analgesic use

10.Uncontrolled systemic disease

11.Symptomatic cardiac/respiratory disease

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To evaluate the efficacy of TAP block and intra-thecal morphine (ITM) for peri-operative analgesia in patients undergoing laparoscopic live donor nephrectomy compared to conventional analgesia by: 1. Peri operative fentanyl consumption <br/ ><br>2. VAS scores at rest and on movement. <br/ ><br>Timepoint: 0,2,4,6,12 and 24 hours time points
Secondary Outcome Measures
NameTimeMethod
1. To assess the effect of intra-thecal morphine and TAP block on recovery characteristics: a. Time to Readiness for discharge from PACU b. Time to ambulate c. Time to oral intake <br/ ><br>2. To determine the incidence of adverse effects in all analgesic modalities: a. Respiratory depression b. Pruritus <br/ ><br>c. Nausea and vomiting (PONV) d. Catheter-related bladder discomfort (CRBD) <br/ ><br>Timepoint: TIME SCALES AS MINIMUM AS POSSIBLE
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