Prophylactic tramadol versus nefopam for post-operative catheter -related bladder discomfort in patients undergoing elective per-cutaneous nephrolithotomy
- Conditions
- Pain managementAnaesthesiology - Pain managementRenal and Urogenital - Other renal and urogenital disorders
- Registration Number
- ACTRN12618002054291
- Lead Sponsor
- South valley university
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 150
adult patients of either sex, ASA I or II, undergoing per cutaneous nephrolithotomy(PCNL) for renal upper ureteric stone requiring catheterization of urinary bladder . This procedure usually requires postoperative bladder drainage for 12-24 hours in addition to nephrostomy .
-Bladder outflow obstruction.
-Overactive bladder( frequency > 3 times per night or mor than 8 times per 24 hours.
-Epilepsy.
-Myocardial ischemia or infarction , arrhythmia so, heart failure.
-Renal and hepatic diseases .
-Current use of mono amine oxidase inhibitors.
-History of drug abuse.
-Angle- closure glaucoma.
-Morbid obesity( BMI> 30 kg/ m2).
- History of chronic pain.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <br>Occurrence of catheter - related bladder discomfort<br>Which is being assessed by using a 4- point scale .[-Immediately after extubation (0 hr.).<br>-Thereafter at 1, 2 and 6 hours after operation ( primary time point).<br><br>]
- Secondary Outcome Measures
Name Time Method - Duration of effective post- operative analgesia, which is being assessed by using visual analogue scale( VAS). <br>-Effective: means the interval ( time period) between extubation and administration of 1 st rescue analgesic dose .<br>-The test used to determine this secondary outcome is visual analogue score .[-Immediately after extubation( 0 hr.).<br>-Thereafter at 1,2 and 6 hours after operation( secondary time point).]