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The efficacy of erector spinae plane block versus intravenous analgesics compared relate to the morphine consumptions
Patients undergoing elective nefrectomy were enrolled. Patients divided into two groups with a sealed envelope technique to ESP+ pca morphine group or iv analgesic + pca morphine group. All patients will premedicated. then esp will applied to one group before surgery at the preoperative care unit by the same anesthesiologist. The other group will receive intravenous tramadol 1 mg/kg + NSAID 1 ampule + parol 10 mg/ kg + ondansetron 4 mg bolus. Ä°ntravenous morphine pca with a concentration of 0.5 mg/cc were applied. And administered 1 mg boluses every 15 minutes lock time and 4 hour limit as 4 mg arranged. An anesthesia nurse who is responsible of all pcas' in the hospital was recorded the variables of these patients in the service
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| postoperative opiod (morphine) consumption | Active Comparator | patient-controlled analgesia (15 minutes. lock time, 2 ml bolus= total 1 mg morphine intravenously, limited to maximum 4 bolus / per hour ) |
|
| peroperative continuous opioid (remifentanil) consumption | Active Comparator | continuous remifentanil infusion was given during the whole procedure |
|
| postoperative numerated rating scale | Active Comparator | at the 1, 3, 6, 12 and 24 th hour postoperatively - numerated rating scale score was evaluated and recoded as 0= no pain (better), 10: unbearable pain (worse) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| erector spinea plane block administered preoperative open nephrectomy | Procedure | erector spinae plane block applied in this group before open nephrectomy |
|
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative intravenous morphine patient controlled analgesia consumption | morphine consumptions were recorded till 24 th hour postoperatively | during postoperatively |
| Peroperative remifentanyl consumption | Amount of Remifentanyl consumption recorded | Peroperatively |
| Measure | Description | Time Frame |
|---|---|---|
| Visual analog rating scores | pain scores were recorded during surgery | during postoperative surgery |
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Inclusion Criteria:18-65 years age
Exclusion Criteria:- ASA>3
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| Name | Affiliation | Role |
|---|---|---|
| Zehra Arslan | Kocaeli University Medical Faculty | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kocaeli University Medical Faculty | Kocaeli | Turkey (Türkiye) |
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| intravenous analgesic ( 1 mg/kg tramadol + non-steroid antiinflamatuar paracetamol )drug + 10 mg.kg | Procedure | intarvenous analgesic administered in this group for analgesia end of the open nephrectomy |
|
| ID | Term |
|---|---|
| D014147 | Tramadol |
| ID | Term |
|---|---|
| D003511 | Cyclohexanols |
| D000441 | Hexanols |
| D005233 | Fatty Alcohols |
| D000438 | Alcohols |
| D009930 | Organic Chemicals |
| D004123 | Dimethylamines |
| D008744 | Methylamines |
| D000588 | Amines |
| D008055 | Lipids |
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