The goal of this interventional study is to learn if an Enhanced Recovery After Surgery (ERAS) protocol works to reduce the need for narcotic pain medications in live donor kidney transplant recipients. The main questions it aims to answer are: Does the ERAS protocol lower the amount of opioid narcotic medication needed to manage post-surgery pain? Does the ERAS protocol help lower pain scores after surgery? Researchers will compare the ERAS protocol to previous patients where the ERAS protocol was not used to see if the ERAS protocol works to reduce post-surgery pain. Participants will be asked to: * Drink a pre-surgery carbohydrate drink two hours before your surgery. * Take a pre-surgery dose of Tylenol by mouth. * Take a pre-surgery dose of Gabapentin by mouth. * The surgeon will administer a local numbing medication at the surgery site by injection during the surgery. * Begin walking with assistance about 12 hours after your surgery. * Allow the research staff to collect data about your kidney function. This data will be collected on your postoperative clinic visits, which generally occur about twice weekly for one month. This information will determine your kidney health, need for hospitalization, and side effects that may occur.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
60
50 g of carbohydrate drink 2 hours before surgery
650mg acetaminophen 30 minutes prior to surgery
300 mg gabapentin 30 minutes prior to surgery
intraoperative local anesthetic
Assisted ambulation 12 hours after surgery
Baylor Scott & White All Saints Medical Center
Fort Worth, Texas, United States
Numerical Rating Scale (NRS) (0-10)
Patient reported pain on a scale from 0 (no pain) to 10 (the worst possible pain)
Time frame: From enrollment to the end of treatment at 30 days
Narcotic Use
milligram morphine equivalents (MME)
Time frame: From enrollment to the end of treatment at 30 days
Adverse Events
unfavorable medical occurence
Time frame: From enrollment to the end of treatment at 30 days
Hospital readmission
readmission to any hospital within 30 days
Time frame: From enrollment to the end of treatment at 30 days
Length of Stay
total hospital length of stay
Time frame: From enrollment to the end of treatment at 30 days
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