Postoperative Pain Protocol Limiting Narcotics for Laparoscopic Hand-assisted Donor Nephrectomy

Exclusion Criteria

• •Patients excluded as a potential kidney donor or surgical candidate (renal failure, cancer, uncontrolled hypertension or diabetes, cognitively impaired adults, children, history of stroke, complicated coronary history or pregnant)
• •Patients with a history of chronic pain or chronic pain medication use
• •Patients who are undergoing open nephrectomies
• •Allergy to NSAID or acetaminophen
• •Hepatic disease or elevated transaminases
• •Peptic Ulcer Disease
• •Probenecid use
• •History of traumatic brain injury
• •Contraindications of Ketamine Use (recent head trauma, open eye injury or glaucoma)