Ultrasound-guided Erector Spinae Plane Block Versus Retrolaminar Block for Postoperative Analgesia in Patients Undergoing Percutaneous Nephrolithotomy
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Postoperative Analgesia
- Sponsor
- Alexandria University
- Enrollment
- 120
- Locations
- 1
- Primary Endpoint
- measurement of visual analogue score
- Status
- Completed
- Last Updated
- 11 months ago
Overview
Brief Summary
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
Detailed Description
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.
Investigators
Ahmed Shehab, MD
Lecturer in Anaesthesia and Surgical ICU department
Alexandria University
Eligibility Criteria
Inclusion Criteria
- •Patients scheduled for PCNL
Exclusion Criteria
- •daily consumption of analgesics
- •allergy to local anesthetics
- •liver dysfunction
- •infection or previous surgery in the vertebral region.
- •patient refusal
- •pregnancy
Outcomes
Primary Outcomes
measurement of visual analogue score
Time Frame: 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
Secondary Outcomes
- 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)