Role of erector spinae plane block for post operative pain after percutaneous nephrolithotomy.

Not yet recruiting

Conditions: Calculus of kidney,

Registration Number: CTRI/2020/12/029997

Lead Sponsor: Muljibhai Patel Urological Hospital Nadiad

Brief Summary: Percutaneous nephrolithotomy (PCNL) is commonly performed to treat the kidney stone. There are several effort has been done to minimise the postoperative pain such as multimodal analgesic regimens.[1-3] Ultrasound-guided erector spinae plane block (ESPB) is a novel interfascial paraspinal plane regional anesthesia technique, which was first used by Forero et al for the treatment of severe chronic thoracic neuropathic pain.[4]. Although the majority of ESPBs described were in the thoracic region and few studies available for the lumbar region for postoperative analgesia.[5] The studies reported that it was an effective technique for postoperative analgesia in patients having ventral hernia repair [6], breast surgery [7], laparoscopic cholecystectomy procedures [8] and PCNL[9, 10]. The peritubal infiltration along the renal capsule, subcutaneous tissue, skin and nephrostomy tube is carried out after PCNL is another effective method for postoperative analgesia.[11] There was no reported study for comparison of ESPB versus peritubal infiltration for postoperative analgesia for PCNL. The aim of this randomized, controlled, single-blinded study was to compare the analgesic efficacy of ultrasound-guided ESPB versus peritubal infiltration versus no intervention.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 75

Inclusion Criteria

1.Patients with American Society of Anesthesiologists (ASA) physical status classes I or II, 2.Aged 18â€“65 years 3.Scheduled for all unilateral PCNL, Mini PCNL and Tubeless PCNL under General anesthesia (GA).

Exclusion Criteria

1.Psychological disorders, 2.Morbid obesity ( BMI>35), hepatic or renal dysfunction, 3.Coagulation disorders, 4.Sepsis, history of chronic analgesic use 5.History of allergy to local anesthetic agents 6.Restage PCNL.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To compare the analgesia efficacy by visual analogue scale and need of rescue analgesia	24 hours after procedure postoperatively

Secondary Outcome Measures

Name	Time	Method
To compare the hemodynamic stability, duration of analgesia and total dosage of analgesia consumption	24 hours after procedure postoperatively

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