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| ID | Type | Description | Link |
|---|---|---|---|
| 2020-000779-19 | EudraCT Number |
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Performing the nephrectomy by laparoscopy has decrease the incidence of postoperative pain, but there are still some patients who describe a severe pain after this surgery. Regional techniques allow a better recovery quality and adequate- managed pain control.
Adequate control of pain in patients with nephrectomy is a challenge for the anesthesiologist who must achieve an early recovery with minimal adverse effects. Within a multimodal strategy, the work hypothesis is based on comparing the analgesic efficacy of two regional techniques in patients undergoing nephrectomy, in terms of quality of postoperative recovery, pain control, absence of adverse effects and ease of performance.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SIPB (block) | Patients undergone nephectomy and who received SIPB as analgesia |
| |
| QL block | Patients undergone nephectomy and who received QL as analgesia |
| |
| control | Patients undergone nephrectomy who didn´t receive regional anesthesia |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ultrasound device | Device | We performe a differnt analgesic techniques to know if some of then are better |
|
| Measure | Description | Time Frame |
|---|---|---|
| pain control and quality life.Numeric rating scale (NRS) | To assess whether SIPB is superior in pain control | "24 postoperative hours" |
| QoR15 | Postoperative quality recovery | "24hours" |
| Measure | Description | Time Frame |
|---|---|---|
| Opioids consumption | Second outcomes was to know the consumption of intaoperative fentanyl and postoperative morphine and their side effects | "48 hours" |
| Side effects | We assessed the side effects of opioids |
| Measure | Description | Time Frame |
|---|---|---|
| control | Third outcome will be to know if both blocks control pain better than control group | "24 hours" |
Inclusion Criteria:
Exclusion Criteria:
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A sample size of 80 patients (40 in each group) has been calculated assuming that we intend to confirm a 15% improvement in pain control and postoperative recovery in the serratus-intercostal plane block group.
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| Name | Affiliation | Role |
|---|---|---|
| Maria Teresa Fernandez | Hospital Medina del Campo | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| MarÃa Teresa Fernandez | Valladolid | VA | 47008 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28679202 | Background | Corso RM, Piraccini E, Sorbello M, Bellantonio D, Tedesco M. Ultrasound-guided transmuscular quadratus lumborum block for perioperative analgesia in open nephrectomy. Minerva Anestesiol. 2017 Dec;83(12):1334-1335. doi: 10.23736/S0375-9393.17.12167-X. Epub 2017 Jul 5. No abstract available. | |
| 29589427 | Background |
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| ID | Term |
|---|---|
| D014463 | Ultrasonography |
| D004864 | Equipment and Supplies |
| D000077554 | Levobupivacaine |
| D004364 | Pharmaceutical Preparations |
| ID | Term |
|---|---|
| D003952 | Diagnostic Imaging |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D002045 | Bupivacaine |
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| Levobupivacaine | Drug | using the same AL |
|
|
| "24hours" |
| Corso RM, Piraccini E, Sorbello M, Bellantonio D, Tedesco M. Transmuscular quadratus lumborum block versus serratus-intercostal interfascial plane block: the game has just begun. Minerva Anestesiol. 2018 Jul;84(7):873-874. doi: 10.23736/S0375-9393.18.12849-5. Epub 2018 Mar 27. No abstract available. |
| 29479932 | Background | Fernandez Martin MT, Lopez Alvarez S, Fajardo Perez M, Perez Herrero M. Serratus-intercostal interfascial plane block: alternative analgesia for open nephrectomy? Minerva Anestesiol. 2018 Jul;84(7):872-873. doi: 10.23736/S0375-9393.18.12808-2. Epub 2018 Feb 22. No abstract available. |
| 29789137 | Background | Fernandez Martin MT, Lopez Alvarez S, Perez Herrero MA. Serratus-intercostal interfascial block as an opioid-saving strategy in supra-umbilical open surgery. Rev Esp Anestesiol Reanim (Engl Ed). 2018 Oct;65(8):456-460. doi: 10.1016/j.redar.2018.03.007. Epub 2018 May 20. English, Spanish. |
| D000813 |
| Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
| D000588 | Amines |