Postoperative Pain Clinical Trial
Official title:
Randomized, Prospective, Double Blind Study Comparing Single Shot Versus Continuous Transverses Abdominis Plane (TAP) Block for Postoperative Analgesia After Laparoscopic Live Donor Nephrectomy
The purpose of this study is to determine whether continuous transversus abdominis plane (TAP) block is superior to single shot TAP for postoperative pain after laparoscopic donor nephrectomy
This study is a randomized, prospective, double blind study comparing single shot versus
continuous transversus abdominis plane (TAP) block for postoperative analgesia after
laparoscopic live donor nephrectomy.
Good pain control after surgery has been shown to decrease complications. To address the
problem of postoperative pain control in donor nephrectomy patients,the study investigators
began performing Transversus Abdominis Plane (TAP) blocks. The TAP block involves injection
of local anesthetic between the abdominal muscle planes (internal oblique muscle and
transversus abdominis muscle), to block the somatic nerves that supply sensation to the skin,
muscles, and parietal peritoneum of the anterior abdominal wall. Prior reports of TAP blocks
have shown that it provides good analgesia for postoperative pain after abdominal surgery.
However because the duration of postoperative pain exceeds that of the single shot TAP block,
the investigators hypothesized that by placing a catheter through which a continuous infusion
of local anesthetic could be delivered, investigators could provide analgesia throughout the
postoperative period. The study investigators also hypothesized that improved analgesia would
decrease the need for opioid pain medications, hence decreasing the side effects associated
with opioid use.
This study is designed to test our hypothesis that placing a TAP catheter is superior to
single shot TAP, because it provides a longer duration of analgesia and decreases narcotic
use.
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