Paravertebral Versus Caudal Block in Pediatric PCNL

Assiut University

Status: Unknown

Conditions: Percutaneous Nephrolithotomy; Kidney Stones

Treatments: Procedure: Paravertebral; Procedure: Caudal block

Study type: Interventional

Funder types: Other

Identifiers

NCT05012215

Paravertebral Caudal PCNL

Details and patient eligibility

About

To compare the efficacy of Ultrasound guided thoracic paravertebral block versus ultrasound guided caudal epidural 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.

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.

Caudal epidural block involves placing a needle through the sacral hiatus to deliver medications into the epidural space. This approach is used widely used for surgical anesthesia and analgesia in pediatric patients.

this work aims to compare the efficacy of Ultrasound guided thoracic paravertebral block versus ultrasound guided caudal epidural block in pediatric patients undergoing percutaneous nephrolithotomy

Enrollment: 60 estimated 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: Single Blind

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60 participants in 2 patient groups

Paravertebral

Experimental group

Description:

Ultrasound-guided thoracic paravertebral block

Treatment:

Procedure: Paravertebral

Caudal

Active Comparator group

Description:

Caudal block

Treatment:

Procedure: Caudal block