Erector spinae plane block for perioperative analgesia after percutaneous nephrolithotomy

Not Applicable

Completed

• Conditions: urolithiasis; Renal and Urogenital - Kidney disease; Surgery - Other surgery; Anaesthesiology - Pain management

• Registration Number: ACTRN12619000044123
• Lead Sponsor: Piotr Bryniarski

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2019-01-14
• Study Completion: 2020-04-29
• Last Update Posted: 13 July 2020

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 75

Inclusion Criteria

a.Patients who gave informed consent for participation in the study
b.Age 18-70 years
c.ASA I-III
d.Patients with BMI < 35
e.Patients with kidney stone over 2 cm in diameter or patients with kidney stones 1 - 2 cm who wished to have PCNL instead of retrograde intrarenal surgery or shockwave lithotripsy (SWL)
or patients with kidney stones 1 - 2 cm with contraindications for SWL
f.Single access PCNL

Exclusion Criteria

a.Residual stones after surgery and need for a second look
b.Bleeding diathesis
c.Solitary kidney
d.Dermal infection in injection site
e.Contrast and drug allergy
f.Routine antidepressants, corticosteroids, pain medications, anticonvulsants use
g. Massive bleeding during operation which requires clamping the nephrostomy or open surgery
h. Need to apply other pain medications or neuroleptics postoperatively

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
visual analogue scale of pain assessed 6 times postoperatively (cm)[ in 1, 2, 4, 6, 12 and 24 hours postoperatively]

Secondary Outcome Measures

Name	Time	Method
nalbuphine consumption (mg) . One syringe with 40 mg nalbuphine is used with the PCA pump. Each syringe exchange is marked by the nurse. After 24 hour period all syringes and the amount of the remaining medication in the last syringe are summarized and information is given to the doctor. [in 24 hour postoperative period];need for additional pain medications (if VAS >4) (yes/no) . Patient marks the VAS of pain which he holds for the 24 hour period postoperatively. And the scale is asessed by the nurse. [in 24 hour postoperative period];side effects (nausea, vomiting, convulsions) (yes/no). This outcome is assessed by direct observation of the patient by the nurse every two hours.[in 24 hour postoperative period];mean arterial pressure (mmHg). This outcome is assessed with sphygmomanometer by the nurse every two hours[in 1, 2, 4, 6, 12 and 24 hours postoperatively];sedation Ramsey scale (points)[in 1, 2, 4, 6, 12 and 24 hours postoperatively]