Lantiolihaspuudutuksen vaikutus munuaisen poistoleikkauksen jälkeiseen kivun hoitoon ja toipumiseen
This study is investigating ways to manage pain and improve recovery after surgery to remove a kidney due to cancer. Researchers are testing a technique called a 'nerve block' where medicine is injected near nerves to numb an area. They are using specific medicines called ropivacaine and dexamethasone, combined with a salt solution. The main goal is to see if this nerve block helps reduce the total amount of strong pain relief (like morphine, known as opiates) that patients need in the first 24 hours after their surgery. They will also look at how quickly people need pain relief after the block is given, and how much pain they feel when resting and moving. This research aims to find better ways to keep patients comfortable and help them recover more smoothly after kidney cancer operations.
At a glance
What is this study about?
When someone has surgery for kidney cancer to remove a kidney, managing pain afterwards is very important for their comfort and recovery. This study is looking into a specific way to help with this pain called a 'nerve block'. This is when doctors inject a mixture of medicines near certain nerves in your back or side to numb the area. The idea is to stop pain signals before they even reach your brain, which could mean you need less strong pain medication after your operation.
The main aim of this research is to see if using this nerve block treatment can reduce the total amount of strong painkillers, often called opiates, that a person needs in the first 24 hours after their kidney surgery. Strong painkillers can have side effects, so finding ways to use less of them while keeping pain under control is a good goal. The study will carefully record how much strong pain relief is given at different times after the nerve block is done.
Researchers will also be looking at other important things. For example, they'll check how long it takes for a person to first ask for pain medication after receiving the nerve block. They will also ask people to rate their pain levels, both when they are resting and when they are moving. All this information will help doctors understand if this nerve block is an effective and helpful way to manage pain and improve recovery for patients undergoing kidney removal surgery.
Key takeaways
- This study is testing a specific nerve block to help manage pain after kidney cancer surgery.
- The main aim is to see if the nerve block reduces the need for strong pain relief (opiates) in the first 24 hours.
- Medicines used in the nerve block include ropivacaine and dexamethasone.
- Researchers will also measure how quickly patients need pain relief and their pain levels.
- The study is for adults (18+) of any gender who are having kidney removal surgery for cancer.
Who may be eligible?
This study is looking for adults who are having surgery for kidney cancer to remove a kidney. You will need to be at least 18 years old to take part. There are no upper age limits, so older adults can also be included.
Both men and women are welcome to join this study if they meet the other requirements. The most important thing is that you are scheduled for an operation to remove a kidney because of cancer. The healthcare team involved in the study will check if this treatment is suitable and safe for your specific situation.
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Are you 18 years old or older?
- Are you having surgery to remove a kidney because of cancer?
- Are you scheduled for this type of operation?
- Are you comfortable with doctors monitoring your pain relief closely after surgery?
What does participation involve?
If you decide to take part in this study, the main intervention involves receiving a nerve block during your surgery. This means that a mixture of medicines like ropivacaine, dexamethasone, and a saline solution will be injected near specific nerves. This happens as part of your pain management plan for the operation.
After your surgery, the research team will closely monitor your pain and the pain relief you receive. They will keep track of how much strong pain medicine (opiates) you are given at specific times: 1, 2, 4, 8, 12, 16, and 24 hours after the nerve block. They will also ask you to report on your pain levels, both when you are resting and when you are moving. The team will also note the time you first ask for additional pain relief. You will likely continue to stay in the hospital for your recovery, and this monitoring will be part of your routine care during this initial period.
Potential risks and benefits
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Common questions
What is a 'nerve block'?
A nerve block is when medicine is injected near nerves to numb a specific part of your body, helping to stop pain signals.
What kind of surgery is this study for?
This study is for people having surgery to remove a kidney because of cancer.
What medicines are being used in the nerve block?
The nerve block uses medicines like ropivacaine and dexamethasone, combined with a salt water solution.
What is the main thing the study is trying to find out?
The main goal is to see if the nerve block helps reduce the total amount of strong pain medicines (called opiates) people need in the first 24 hours after surgery.
Can I leave the study if I change my mind?
Yes, you can decide to stop participating in the study at any time, and it won't affect your medical care.
How to find out more
Always speak to your GP or specialist before deciding to take part in a study.
Discussion
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