To study and compare intercostal nerve block versus nephrostomy tract infiltration for post operative analgesia after tubeless Percutaneous nephrolithotomy
- Conditions
- Health Condition 1: N200- Calculus of kidney
- Registration Number
- CTRI/2023/05/052355
- Lead Sponsor
- department of anaesthesiology and critical care
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 70
Patients aged between 18-60 years of either sex, belonging to
American Society of Anesthesiologists (ASA) physical status (I and II) scheduled to undergo
tubeless percutaneous nephrolithotomy under spinal anaesthesia for a single renal stone of
>2cm diameter and requiring single subcostal puncture will be included in this study.
Contraindications to spinal anaesthesia such as coagulopathy infection at the site of
lumbar puncture Known history of hypersensitivity/anaphylaxis/ contraindications to ropivacaine or its
components Pregnancy Mental disorders/illness Excessive intraoperative bleeding More than one puncture and requiring supra-costal puncture ,BMI >30kgm-2 Chronic drug/analgesic abuse Refusal to give consent Surgical procedure >3hrs
will be excluded from the study
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method To compare post operative visual analogue scale(VAS) following PTI versus ICNB with ropivacaine in patients undergoing tubelessPCNLTimepoint: recovery room <br/ ><br>0 hrs <br/ ><br>2hrs <br/ ><br>4hrs <br/ ><br>6hrs <br/ ><br>24hrs
- Secondary Outcome Measures
Name Time Method Change in hemodynamics and respiratory parametersTimepoint: Change in hemodynamics and respiratory parameters;Duration of post operative analgesiaTimepoint: Duration of post operative analgesia;Dynamic visual analogue scale (DVAS) <br/ ><br> <br/ ><br>Timepoint: recovery room <br/ ><br>0 hrs <br/ ><br>2hrs <br/ ><br>4hrs <br/ ><br>6hrs <br/ ><br>24hrs;Mean number of doses and total analgesic consumption in 24 hoursTimepoint: Mean number of doses and total analgesic consumption in 24 hours;Side effects, if anyTimepoint: Side effects, if any