Erector Spinae Plane Block Versus Retrolaminar Block for Analgesia in Percutaneous Nephrolithotomy

Alexandria University

Status: Completed

Conditions: Postoperative Analgesia; PCNL; Pain Management; Regional Anesthesia Block

Treatments: Procedure: ultrasound-guided retrolaminar plane block; Procedure: ultrasound-guided erector spinae plane block

Study type: Interventional

Funder types: Other

Identifiers

NCT06710444

0306627

Details and patient eligibility

About

The study will investigate the effects of ultrasound-guided ESPB and RLB on intraoperative and postoperative analgesia in patients undergoing PCNL to identify a safe and effective regional block method for postoperative analgesia

Full description

All the patients will be blinded to the intervention received in this study. All patients will receive standard general anesthesia technique with endotracheal intubation and muscle paralysis. Postoperatively, all patients will receive analgesia in the form of non-steroidal anti-inflammatory drugs and paracetamol. In case the VAS scores exceeded 4 in any group, the patients will receive rescue analgesia with 25 mg IV meperidine. In both groups, the ESPB and RLB will be performed after induction of general anesthesia using portable ultrasound device.

Enrollment: 120 patients

Sex: All

Ages: 21+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients scheduled for PCNL

Exclusion criteria

• daily consumption of analgesics
• allergy to local anesthetics
• liver dysfunction
• infection or previous surgery in the vertebral region.
• patient refusal
• pregnancy

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

---

120 participants in 2 patient groups

Group I

Active Comparator group

Description:

This group will receive ultrasound-guided erector spinae plane block

Treatment:

Procedure: ultrasound-guided erector spinae plane block

Group II

Experimental group

Description:

This group will receive ultrasound-guided Retrolaminar plane block

Treatment:

Procedure: ultrasound-guided retrolaminar plane block