Paraspinal blocks for complete surgical anesthesia for percutaneous nephrolithotomy

Not Applicable

Not yet recruiting

Conditions: Calculus of kidney with calculus of ureter,

Registration Number: CTRI/2020/12/029732

Lead Sponsor: Muljibhai Patel Urological Hospital Nadiad

Brief Summary: PCNL has been performed under general anesthesia(GA) , Regional anesthesia(RA) , PVB and LA. GA and RA (including spinal, epidural and combined spinal-epidural anesthesia) were commonly used for PCNL. In the prevailing COVID-19 scenario, the regional anaesthesia is preferred over general anaesthesia to reduce the risk of transmission in suspected or confirmed case of COVID-19. Paravertebral block (PVB) is the technique of injecting a local anesthetic agent adjacent into the vertebra close to where the spinal nerves exit the intervertebral foramina. It leads to blockade of ipsilateral, segmental, somatic, and sympathetic nerve. Erector spinae plane block (ESPB) is a novel paraspinal fascial plane block in which local anesthetics injected between erector spinae and thoracic transverse process resulting in blockage of the dorsal and ventral rami of the thoracic and abdominal spinal nerves. Ultrasound guided paraspinal blocks allow to reduce the incidence of failure rate and complications (likes, pneumothorax and vascular puncture) as well as also help in local anaesthesitc dosages. There was no study reported for comparison of PVB, ESPB and combined blocks for PCNL as a complete surgical anaesthesia. Our aim of the study to provide alternative regional anesthesia technique for PCNL under ultrasound guided paraspinal blocks with conscious sedation.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 45

Inclusion Criteria

1.Patients with American Society of Anesthesiologists (ASA) physical status classes I or II, 2.Scheduled for all unilateral PCNL, Mini PCNL and Tubeless PCNL.

Exclusion Criteria

1.Psychological disorders, 2.BMI>25, hepatic or renal dysfunction, 3.Coagulation disorders, 4.Sepsis, history of chronic analgesic use 5.History of allergy to local anesthetic agents.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To compare the feasibility of paraspinal blocks (PVB, ESPB and combined PVB and ESPB) as complete surgical anesthesia for PCNL.	24 hours after Procedure postoperatively

Secondary Outcome Measures

Name	Time	Method
1.To compare the onset of effect of paraspinal block	2.To compare perioperative heamodynamic stability

Trial Locations

Locations (1): Muljibhai Patel Urological Hospital
🇮🇳
Kheda, GUJARAT, India
Muljibhai Patel Urological Hospital
🇮🇳Kheda, GUJARAT, India
Dr Shailesh Soni
Principal investigator
02682520323
sonishail@yahoo.com