Effectivenes of Erector Spinae Plane Block in Percutaneous Nephrolithotomy?

Ankara City Hospital

Status: Unknown

Conditions: Postoperative Pain; Nephrolithotomy, Percutaneous; Erector Spinae Plane Block

Treatments: Procedure: erector spinae block

Study type: Interventional

Funder types: Other

Identifiers

NCT04474873

E1-20-315

Details and patient eligibility

About

This study investigates the effectiveness of the erector spinae plane block (ESPB) in pain management of patients undergoing PNL.

Full description

Although percutaneous nephrolithotomy(PNL) is a minimally invasive procedure, it causes severe postoperative pain due to dilatation of the renal capsule and parenchymal duct and peritubal distension of the nephrostomy tube. PNL-related pain has a limited response to oral and intravenous treatments. The primary aim of our study is to investigate the effectiveness of the erector spinae plane block (ESPB) in pain management of patients undergoing PNL.

Our secondary aim is determining if any possible clinical effect of ESPB in terms of serial peak expiratory flow measurements, postoperative agitation score of the patient (Riker Score), ambulation time, length of hospital stay.

Enrollment: 3 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients undergoing PNL between 18-65 years old

Exclusion criteria

• serious cardiac, respiratory, hepatic, renal or haemotologic disease
• mental disorder and hearing problem
• anxiety, depression and / or other psychiatric disorders
• pregnancy
• refusal of patient
• Allergy or contraindications to drugs used in the study
• ASA > 2 Inflammation or infection over injection site Obese patients BMI ≥35/

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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3 participants in 2 patient groups

Group 1:Conventional intravenous analgesia

No Intervention group

Description:

Conventional intravenous analgesia applied according to surgeon's preference

Group 2:ESPB

Active Comparator group

Description:

A 6-13 MHz linear probe was used for ultrasound-guided ESPB (Logiq e, General Electric, USA,) performed at the T11 level. The transverse process was detected by sliding the transducer 3-4 cm laterally from the midline, and after identification of the transverse process, a 20-gauge 100mm insulated echogenic needle (Vygon locoplex, France) was used

Treatment:

Procedure: erector spinae block