Erector Spinae Plane (ESP) Block for Renal Colic

Phase 4

Active, not recruiting

• Conditions: Renal Colic
• Interventions: Drug: Ropivacaine injection; Other: Standard of care medications

• Registration Number: NCT05323175
• Lead Sponsor: Stony Brook University

Brief Summary

Comparing standard of care to erector spinae plane block for acute renal colic pain.

Detailed Description

Will compare at times 0, 10 minute, 20 minute, 40 minute and 60 minutes after local nerve block given.

Study Timeline

• Study First Submitted: 2021-10-08
• Study First Submitted QC: 2022-04-11
• Study First Posted: 2022-04-12
• Study Start: 2022-04-25
• Primary Completion: 2024-06-01
• Status Verified: 2025-01
• Last Update Submitted: 2025-01-24
• Last Update Posted: 2025-01-27
• Study Completion: 2025-06-01

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 24

Inclusion Criteria

• 18 to 65 years old
• ASA Level I and II
• flank pain concerning for renal colic in ED

Exclusion Criteria

• pregnant women
• subjects unable to appreciate ESP block landmarks under ultrasound
• skin infection over needle site insertion
• Allergy to local anesthesia (lidocaine/Ropivacaine)
• bleeding disorders
• serious cardiac, lung, liver or kidney dysfunction
• history of spine surgery
• history of spinal infection
• history of epidural injection within 6 months
• acute exacerbation of serious mental disease
• unable to consent
• unable to communicate pain level

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
ESP Nerve Block for Renal colic	Ropivacaine injection	On top of receiving standard of care, At T8 nerve level, with ultrasound guidance to bathe the nerve
Standard of care	Standard of care medications	Whatever medications the clinician normally treats renal colic with

Primary Outcome Measures

Name	Time	Method
Pain score at 10 minutes	10 minutes after the ESP Block	Using the Visual Analog Scale for Pain Assessment Tool with 0 meaning "No pain" and 10 meaning "Unbearable Pain"
Baseline Pain before intervention	Before the ESP Block	Using the Visual Analog Scale for Pain Assessment Tool with 0 meaning "No pain" and 10 meaning "Unbearable Pain"
Pain score at 40 minutes	40 minutes after ESP Block	Using the Visual Analog Scale for Pain Assessment Tool with 0 meaning "No pain" and 10 meaning "Unbearable Pain
Pain score at 20 minutes	20 minutes after ESP Block	Using the Visual Analog Scale for Pain Assessment Tool with 0 meaning "No pain" and 10 meaning "Unbearable Pain"
Pain score at 60 minutes	60 minutes after ESP Block	Using the Visual Analog Scale for Pain Assessment Tool with 0 meaning "No pain" and 10 meaning "Unbearable Pain

Secondary Outcome Measures

Name	Time	Method
Need for extra opiates	Starting from time 0 after the ESP Block intervention completed till discharge or urology intervention	Record how much opioids patients receives starting after the ESP Block for both the "standard of care" patients and the ESP Block group

Trial Locations

Locations (1)

StonyBrook University Hospital; 🇺🇸 Stony Brook, New York, United States