Transversalis Fascia Plane Block and Rectus Sheath Block in Renal Transplantation Donors

Koc University Hospital50 enrolled

Overview

Transversalis fascia plane block (TFPB) is a relatively new, easy-to-apply and safe regional anesthesia technique used to provide postoperative analgesia in various surgeries. It has been shown that TFPB and rectus sheath block (RSB) administration reduces opioid consumption and related side effects in patients undergoing surgery with general anesthesia. To our knowledge, there is no study examining TFPB in donor nephrectomy. The investigators aimed to prospectively examine the effect of TFPB and RSB on opioid consumption in postoperative period on donors who will undergo laparoscopic nephrectomy in renal transplantation surgery.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Postoperative Pain

Interventions

Eligibility

Sex: ALLMin age: 18 YearsMax age: 75 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Donor patients scheduled for elective nephrectomy in renal transplantation surgery * American Society of Anesthesiologists (ASA) I-II * Patients who are aged between 18-75 Exclusion Criteria: * Skin infection at the block area * Coagulation disorder and using anticoagulant drugs * End-stage organ and system failure * Severe pulmonary and/or cardiovascular problems * Substance addiction or known psychiatric or mental problems * Chronic painkiller usage

Outcomes

Primary Outcomes

Total opioid consumption retrieved from patient records

the amount of fentanyl required by the patient and given by the device will be recorded for the first 24 hours.

Time frame: up to 24 hours

Secondary Outcomes

Numeric Rating Scale (NRS)

Pain of patients will be evaluated and recorded according to NRS. A NRS requires the patient to rate their pain on a defined scale between 0 and10 (0 is no pain and 10 is the worst pain)