Continuous Epidural Fentanyl- Low Dose Bupivacaine Infusion Analgesia for Precious Single Kidney Patient.
Status:
Completed
Trial end date:
2018-12-04
Target enrollment:
Participant gender:
Summary
Open surgical nephrectomy is associated with sever postoperative pain mandating alternative
strong ,renal safety, minimal side effects, and minimal rescue systemic analgesics ,
continuous Epidural Fentanyl infusion in a dose step down tapering manner would produce
hemodynamic stability with effective analgesia in nephrectomy surgery without using
nephrotoxic analgesic drugs such as NSAIDs .The study proposal: Continuous Epidural Fentanyl
infusion in a dose step down tapering manner with the least analgesic LA dose is enough
intraoperative non nephrotoxic analgesic modality with good intraoperative(IO) Hemodynamic
stability & less postoperative complications in patients subjected to nephrectomy surgery
with remaining single precious kidney. Aim of the work: Intraoperative analgesic technique
avoiding polymodal analgesia that utilize the nephrotoxic NSAIDs, To have a NSAIDs free
surgery by using a Continuous IO effective & safe lipophilic opioid analgesia especially in
nephrectomy surgery that leaves the patient with a single precious healthy kidney that has to
be well perfused and totally protected from any nephrotoxic drugs with rapid recovery and
less PO complications