Paravertebral Versus Caudal Block in Pediatric PCNL

Not Applicable

• Conditions: Kidney Stones; Percutaneous Nephrolithotomy
• Interventions: Procedure: Caudal block; Procedure: Paravertebral

• Registration Number: NCT05012215
• Lead Sponsor: Assiut University

Brief Summary

To compare the efficacy of Ultrasound guided thoracic paravertebral block versus ultrasound guided caudal epidural block in pediatric patients undergoing percutaneous nephrolithotomy

Detailed Description

Percutaneous Nephrolithotomy (PCNL) is a commonly performed surgical procedure for complex upper renal tract calculi. Although the skin incision for PCNL appears small, the intensity of intraoperative and postoperative pain is significant owing to soft tissue injury.

Paravertebral block is the technique of injecting local anesthetics in a space immediately lateral to where the spinal nerves emerge from the intervertebral foramina. This technique is used increasingly for intra-operative and post-operative.

Caudal epidural block involves placing a needle through the sacral hiatus to deliver medications into the epidural space. This approach is used widely used for surgical anesthesia and analgesia in pediatric patients.

this work aims to compare the efficacy of Ultrasound guided thoracic paravertebral block versus ultrasound guided caudal epidural block in pediatric patients undergoing percutaneous nephrolithotomy

Study Timeline

• Status Verified: 2021-08
• Study First Submitted: 2021-08-06
• Study First Submitted QC: 2021-08-16
• Study Start: 2021-08-19
• Study First Posted: 2021-08-19
• Last Update Submitted: 2021-08-19
• Last Update Posted: 2021-08-20
• Primary Completion: 2022-03-20
• Study Completion: 2022-03-20

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• Patients undergoing percutaneous nephrolithotomy

Exclusion Criteria

• Coagulation disorders
• Infection at the site of injection
• Allergy to the local anesthetics used
• Spinal cord abnormalities or neurological deficits

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Caudal	Caudal block	Caudal block
Paravertebral	Paravertebral	Ultrasound-guided thoracic paravertebral block

Primary Outcome Measures

Name	Time	Method
The concentration of sevoflurane in %	through the surgery, an average of 2 hours
Heart rate (beats/minute)	through the surgery, an average of 2 hours
Blood pressure during surgery in mmHg	through the surgery, an average of 2 hours
Postoperative pain using FLACC score	up to 12 hours

Trial Locations

Locations (1)

Assiut University; 🇪🇬 Assiut, Egypt