Pain relief for kidney stone procedure pcnl with erector spinae plane block in the back and local infiltration with 0.375% ropivacaine at procedure site

Completed

• Conditions: Other Procedures,

• Registration Number: CTRI/2022/05/042829
• Lead Sponsor: velammal medical college

Brief Summary

Erector spinae block is found to be effective in variety of procedures.This study is designed to evaluate the efficacy of USG guided Erector spinae block(ESP) for postoperative analgesia following percutaneous nephrolithotomy(pcnl).It is a prospective double blind parallel group study comparing erecor spinae block with local site infiltration with 0.375% ropivacaine for postoperative pain relief for pcnl.Inclusion criteria included ASA 1 and 2 patients aged between 18 and 70 years  of both sexes.Exclusion criteria included BMI>35 KG/m2 ,ASA 3 AND 4,allergic history to local anaesthetics,sepsis or bacreimia.Patients in group L received 20ml of 0.375% ropivacaine at the incision site subcutaneously with hupodermic needle locally and Group E received USG guided ESP block with 0.375% ropivacaine at T10 level.Numeric rating pain scale was measured postoperatively at 30 min,60 min then hourly for 6 hours followed by 4th hourly for 24 hours.The primary objective of the study was to compare NRS scores postoperatively between two groups.The secondary objective was to compare the rescue analgesia requirement between both gropus for 24 hours.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-01-06
• Study Completion: 2022-10-31
• Last Update Posted: 2024-08-07

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• Inclusion criteria.
• Patients undergoing PCNL under general anaesthesia (GA) of both genders belonging to ASA I and II, between 18 to 70 years of age, were included.

Exclusion Criteria

Exclusion criteria – ASA – III , IV contraindications to peripheral nerve blocks, body mass index >35 kg/m2, sepsis or bacteraemia, and cognitive disability.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Postoperative Numeric rating pain scale	Postoperative Numeric rating scale 0 to 10 measured over 24 hours post procedure

Secondary Outcome Measures

Name	Time	Method
Postoperative analgesic requirement	time for first rescue analgesia and total analgesic dose required postoperatively

Trial Locations

Locations (1)

velammal medical college; 🇮🇳 Madurai, TAMIL NADU, India

velammal medical college

🇮🇳Madurai, TAMIL NADU, India

Renganathan s

Principal investigator

9500025879

renganathansockalingam@gmail.com