Ultrasound-guided Erector Spinae Plane Block Versus Retrolaminar Block for Postoperative Analgesia in Patients Undergoing Percutaneous Nephrolithotomy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- measurement of visual analogue score
研究概览
简要总结
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
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Care Provider, Outcomes Assessor)
入排标准
- 年龄范围
- 21 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients scheduled for PCNL
排除标准
- •daily consumption of analgesics
- •allergy to local anesthetics
- •liver dysfunction
- •infection or previous surgery in the vertebral region.
- •patient refusal
- •pregnancy
研究组 & 干预措施
Group I
This group will receive ultrasound-guided erector spinae plane block
干预措施: ultrasound-guided erector spinae plane block (Procedure)
Group II
This group will receive ultrasound-guided Retrolaminar plane block
干预措施: ultrasound-guided retrolaminar plane block (Procedure)
结局指标
主要结局
measurement of visual analogue score
时间窗: after the surgery average 48 hours postoperative
measurement of visual analogue score during rest and movement. The Score range from 0-10. 0 means no pain and 10 indicates the worst pain ever
次要结局
- postoperative additional analgesic requirement(after the surgery average 48 hours postoperative)
- assessing the patient satisfaction by a the short assessment of patient satisfaction score (SAPS)(after the surgery average 48 hours postoperative)
- Time to ambulate(after the surgery average 12 hours postoperative)
- presence of postoperative nausea and vomiting(after the surgery average 48 hours postoperative)
研究者
Ahmed Shehab, MD
Lecturer in Anaesthesia and Surgical ICU department
Alexandria University