Erector Spinae Versus Paravertebral in Pediatric PCNL

Assiut University

Status: Completed

Conditions: Percutaneous; Renal Stone; Nephrolithotomy

Treatments: Procedure: Erector spinae plane block; Procedure: Paravertebral block

Study type: Interventional

Funder types: Other

Identifiers

NCT05589649

ESP versus Paravertebral

Details and patient eligibility

About

To compare the efficacy of ultrasound-guided erector spinae plane block versus ultrasound-guided paravertebral block in pediatric patients undergoing percutaneous nephrolithotomy

Full description

Percutaneous Nephrolithotomy (PCNL) is a commonly performed surgical procedure for complex upper renal tract calculi. Although the skin incision for PCNL appears small, the intensity of intraoperative and postoperative pain is significant owing to soft tissue injury.

Erector spinae plane (ESP) block is an interfascial block that was first described by Forero et al. in 2016. It can be performed by injecting the local anesthetic in the deep interfascial plane of the erector spinae muscle to provide both visceral and somatic analgesia with a sensory level from T2-4 to L1-2.

. Paravertebral block is the technique of injecting local anesthetics in a space immediately lateral to where the spinal nerves emerge from the intervertebral foramina. This technique is used increasingly for intra-operative and post-operative.

Enrollment: 56 patients

Sex: All

Ages: 2 to 12 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients undergoing percutaneous nephrolithotomy

Exclusion criteria

• Coagulation disorders
• Infection at the site of injection
• Allergy to the local anesthetics used
• Spinal cord abnormalities or neurological deficits

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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56 participants in 2 patient groups

Erector spinae plane block

Experimental group

Description:

Ultrasound-guided erector spinae plane block

Treatment:

Procedure: Erector spinae plane block

Paravertebral

Experimental group

Description:

Ultrasound-guided thoracic paravertebral block

Treatment:

Procedure: Paravertebral block