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Trial Title:
Comparison of Postoperative Analgesic Efficacy of the Erector Spina Plane Block and Quadratus Lumborum Block in Open Nephrectomy: a Prospective Randomized Clinical Study
NCT ID:
NCT05810571
Condition:
Renal Cell Carcinoma
Conditions: Official terms:
Carcinoma, Renal Cell
Morphine
Remifentanil
Conditions: Keywords:
erector spina plane block
quadratus lumborum block
patient controlled analgesia
nephrectomy
analgesia
Study type:
Interventional
Study phase:
N/A
Overall status:
Recruiting
Study design:
Allocation:
Randomized
Intervention model:
Crossover Assignment
Primary purpose:
Diagnostic
Masking:
Double (Participant, Outcomes Assessor)
Masking description:
participant will not know which block applied, and the outcome assessor of the
postoperative analgesia will not know
Intervention:
Intervention type:
Procedure
Intervention name:
preoperative remifentanil consumption
Description:
continuous remifentanil infusion will applied for peroperative analgesia
Arm group label:
erector spina plane block
Arm group label:
patient controlled analgesia
Arm group label:
quadratus lumborum block
Intervention type:
Procedure
Intervention name:
postopeartive controlled anlagesia with morphine
Description:
postoperative morphine patient controlled analgesia will be applied for postoperative
analgesia
Arm group label:
erector spina plane block
Arm group label:
patient controlled analgesia
Arm group label:
quadratus lumborum block
Summary:
patients who will undergo elective open nephrectomy will be divided into three groups;
the control (PCA), the erector spina plane block, and the quadratus lumborum block. After
standard anesthesia induction and monitorization then Bispectral index monitoring will be
applied to all patients. Anesthesia will be maintained using sevoflurane in a mixture of
oxygen and air. Continuous remifentanil infusion will be used for analgesia. Then
patient's numeric rating scales and morphine pca consumptions will be recorded for one
day.
Detailed description:
patients who will undergo elective open nephrectomy will be divided into three groups;
the control (PCA), the erector spina plane block and the quadratus lumborum block. After
standard anesthesia induction and monitorization then Bispectral index monitoring will be
applied to all patients. Anesthesia will be maintained using sevoflurane in a mixture of
oxygen and air. Continious remifentanil infusion will be used for analgesia. Then
patient's numeric rating scales and morphine pca consumptions will be recorded for one
day.
Criteria for eligibility:
Criteria:
Inclusion Criteria:
- ASA 1-3
- open nephrectomy elective patients
- BMI<35
Exclusion Criteria:
- ASA 4-5-6
- Laparoscopic nephrectomy
- infection at the block side
- coagulation disorder
- BMI>35
Gender:
All
Minimum age:
18 Years
Maximum age:
85 Years
Healthy volunteers:
No
Locations:
Facility:
Name:
Kocaeli University Medical Faculty
Address:
City:
İzmit
Zip:
41100
Country:
Turkey
Status:
Recruiting
Contact:
Last name:
Zehra İpek Arslan, Professor
Phone:
00905325011339
Email:
zehraipek48@gmail.com
Facility:
Name:
Kocaeli University Medical Faculty
Address:
City:
Kocaeli
Country:
Turkey
Status:
Active, not recruiting
Start date:
October 24, 2024
Completion date:
January 3, 2027
Lead sponsor:
Agency:
Kocaeli University
Agency class:
Other
Source:
Kocaeli University
Record processing date:
ClinicalTrials.gov processed this data on November 12, 2024
Source: ClinicalTrials.gov page:
https://clinicaltrials.gov/ct2/show/NCT05810571
