Can Erector Spinae Plane (ESP) Block Better Relieve Acute Renal Colic Pain Than Standard of Care
试验速览
- 阶段
- 4 期
- 状态
- 已完成
- 入组人数
- 24
- 试验地点
- 2
- 主要终点
- Pain score at 10 minutes
研究概览
简要总结
Comparing standard of care to erector spinae plane block for acute renal colic pain.
详细描述
Will compare at times 0, 10 minute, 20 minute, 40 minute and 60 minutes after local nerve block given.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Participant)
盲法说明
Participant will not know which type of block they receive
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •18 to 65 years old
- •ASA Level I and II
- •flank pain concerning for renal colic in ED
排除标准
- •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
研究组 & 干预措施
Standard of care
Whatever medications the clinician normally treats renal colic with
干预措施: Standard of care medications (Other)
ESP Nerve Block for Renal colic
On top of receiving standard of care, At T8 nerve level, with ultrasound guidance to bathe the nerve
干预措施: Ropivacaine injection (Drug)
结局指标
主要结局
Pain score at 10 minutes
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 60 minutes after ESP Block
Using the Visual Analog Scale for Pain Assessment Tool with 0 meaning "No pain" and 10 meaning "Unbearable Pain
次要结局
- Need for extra opiates(Starting from time 0 after the ESP Block intervention completed till discharge or urology intervention)
研究者
Michael Secko, MD
Clinical Associate Professor, Emergency Department
Stony Brook University