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Aminophylline Infusion on Pain Intensity After Ureterocopic Lithotripsy

Not Applicable
Completed
Conditions
Pain
Ureterocopic Lithotripsy
Aminophylline
Interventions
Other: Control group
Registration Number
NCT05705050
Lead Sponsor
Tanta University
Brief Summary

This study will be conducted to evaluate the effect of intraoperative systemic aminophylline infusion on pain intensity in patients undergoing ureteroscopic lithotripsy surgeries with ureteric stent placement at the end of the procedure.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
50
Inclusion Criteria
  • Aged between 18 to 50 years
  • American society of anesthesiology (ASA) physical status I - II
  • Body mass index (BMI) less than 30.0 kg/m2
  • Scheduled for ureteroscopic lithotripsy surgery with D-J ureteric stent placement at the end of procedure
  • Under general anesthesia.
Exclusion Criteria
  1. Patients with central nervous system diseases, cardiovascular diseases, arrhythmias, cerebrovascular diseases, convulsions, renal impairment or hepatic dysfunction.
  2. Pregnancy or lactation.
  3. Patients with a history of allergy to aminophylline.
  4. Coffee consumption (more than 2 cups/day)
  5. Patients with opioid addiction or patients treated with B agonists, tranquilizers, or antidepressants.
  6. Short procedures less than 30 minutes or procedures not requiring D-J stent placement.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Aminophylline groupAminophylline groupPatients will receive 4 mg/kg aminophylline diluted in 100 ml normal saline over 20 minutes after induction of anesthesia and positioning of patients in lithotomy position.
Control groupControl groupPatients will receive 100 ml normal saline over 20 minutes after induction and lithotomy positioning.
Primary Outcome Measures
NameTimeMethod
Intensity of painIn post anesthesia care unit (PACU)

Visual analogue score (VAS) score: will be measured on arrival to PACU, at 30 minutes, 1 hour, 2 hour, 6, 12 and 24 hour after surgery.

Secondary Outcome Measures
NameTimeMethod
The incidence of postoperative adverse reactions24 hour after surgery

the incidence of adverse reactions, such as arrhythmia, postoperative nausea and vomiting (PONV) and postoperative lightheadedness will be recorded in both groups.

Intensity of pain24 hour after surgery

Visual analogue score (VAS) score: will be measured on arrival to PACU, at 30 minutes, 1 hour, 2 hour, 6, 12 and 24 hour after surgery.

Total amount of opioid dose24 hour after surgery

If Patients reported VAS score more than 3, they will receive intravenous 0.5 mg /kg pethidine. All patients will be observed in PACU for at least 2 hour and in the ward on the day of surgery for confirming any side effects or complications.

Trial Locations

Locations (1)

Tanta University Hospitals

🇪🇬

Tanta, ElGharbiaa, Egypt

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