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IRCT20230214057416N1 IRCT 2023-05-02 Tehran University of Medical Sciences Investigating the effect of prescribing diuretics and the inclined position with the head down for the removal of lower calices stones during extracorporeal shock wave lithotripsy Investigating the effect of prescribing diuretics and the inclined position with the head down for the removal of lower calices stones during extracorporeal shock wave lithotripsy in patients who referred to the Stone Crushing Center 2023-04-16 anticipated 148 Complete https://irct.ir/trial/68873 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Used, Assignment: Factorial, Purpose: Treatment, Randomization description: . We use the permuted block randomization method to balance the number of detected samples. For this purpose, we use the site https://www.sealedenvelope.com/simple-randomiser/v1/lists for block randomization and get the following results: Your list Seed: 500000000000000000 Block sizes: 4 Actual list length: 52 block identifier, block size, sequence within block, treatment • 1, 4, 1, Group A • 1, 4, 2, Group B • 1, 4, 3, Group B • 1, 4, 4, Group A • 2, 4, 1, Group A • 2, 4, 2, Group A • 2, 4, 3, Group B • 2, 4, 4, Group B • 3, 4, 1, Group B • 3, 4, 2, Group A • 3, 4, 3, Group A • 3, 4, 4, Group B • 4, 4, 1, Group A • 4, 4, 2, Group B • 4, 4, 3, Group B • 4, 4, 4, Group A • 5, 4, 1, Group B • 5, 4, 2, Group A • 5, 4, 3, Group B • 5, 4, 4, Group A • 6, 4, 1, Group A • 6, 4, 2, Group A • 6, 4, 3, Group B • 6, 4, 4, Group B • 7, 4, 1, Group A • 7, 4, 2, Group B • 7, 4, 3, Group A • 7, 4, 4, Group B • 8, 4, 1, Group A • 8, 4, 2, Group B • 8, 4, 3, Group A • 8, 4, 4, Group B • 9, 4, 1, Group A • 9, 4, 2, Group B • 9, 4, 3, Group A • 9, 4, 4, Group B • 10, 4, 1, Group B • 10, 4, 2, Group B • 10, 4, 3, Group A • 10, 4, 4, Group A • 11, 4, 1, Group A • 11, 4, 2, Group A • 11, 4, 3, Group B • 11, 4, 4, Group B • 12, 4, 1, Group A • 12, 4, 2, Group B • 12, 4, 3, Group A • 12, 4, 4, Group B • 13, 4, 1, Group B • 13, 4, 2, Group B • 13, 4, 3, Group A • 13, 4, 4, Group A And then we can use coin toss to choose between A and B. Also, a questionnaire has been designed to record information, which includes three parts before the operation, during the operation and after the operation, which are included in the appendices. 3 lower calices stones. Intervention 1: Intervention group: prescribing diuretics and the inclined position with the head down. Intervention 2: Control group: Injection of normal saline without diuretics and without head down position. Yes - There is a plan to make this available What will be shared: All information except personal information can be shared. When: since 1403 To whom: Researchers working in academic and scientific institutions Conditions: All people who need the results of this research, including doctors, researchers, students of medical sciences, etc. Where to obtain: The Researcher ( Darya Rezaei ) drrezaei98@gmail.com How to obtain: Sending an email and replying to her/him at least 1 week later Comments:
public Darya Rezaei
16 Azar
Tehran Iran (Islamic Republic of) 1461884513 +98 21 6640 5357 drrezaei98@gmail.com Tehran University of Medical Sciences scientific Darya Rezaei
16 azar
Tehran Iran (Islamic Republic of) 1461884513 +98 21 6640 5357 drrezaei98@gmail.com Tehran University of Medical Sciences Iran (Islamic Republic of) Age 18 to 60 years Patients diagnosed with lower calyx stones 18 years 60 years Both anatomical abnormality in urinary system Uncorrected coagulation problem Untreated urinary tract infection or urosepsis Previous urological surgery Obstruction of the urinary tract distal to the stone Unilateral and simultaneous kidney and ureter stones Kidney failure (urine creatinine more than 1.8) Having a cardiovascular disease such as having a pacemaker tumore in areas exposed to shock Aneurysms BMI>40 Kg/m2 Skeletal problems such as inability to take certain positions History of having allergy diuretics pregnancy single kidney hypotention uncontrolled HTN history of CNS disease history of brain tumors history of ICP rise Treatment - Drugs Placebo Intervention group: prescribing diuretics and the inclined position with the head down Control group: Injection of normal saline without diuretics and without head down position Removal of lower calices stones. Timepoint: After two weeks of ESWL. Method of measurement: questionnaire. Tehran University of Medical Sciences Approved 2023-04-15 Research Ethics Committees of Sina Hospital Tehran - Imam Khomeini St. - Hassan Abad Square - Sina Hospital Tehran Tehran Iran (Islamic Republic of)