Ultrasound Guided Thoracic Paravertebral Block Versus Ultrasound Guided Caudal Epidural Block in Pediatric Patients Undergoing Percutaneous Nephrolithotomy
试验速览
- 阶段
- 不适用
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- Heart rate (beats/minute)
研究概览
简要总结
To compare the efficacy of Ultrasound guided thoracic paravertebral block versus ultrasound guided caudal epidural block in pediatric patients undergoing percutaneous nephrolithotomy
详细描述
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
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 2 Years 至 12 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients undergoing percutaneous nephrolithotomy
排除标准
- •Coagulation disorders
- •Infection at the site of injection
- •Allergy to the local anesthetics used
- •Spinal cord abnormalities or neurological deficits
结局指标
主要结局
Heart rate (beats/minute)
时间窗: through the surgery, an average of 2 hours
Blood pressure during surgery in mmHg
时间窗: through the surgery, an average of 2 hours
The concentration of sevoflurane in %
时间窗: through the surgery, an average of 2 hours
Postoperative pain using FLACC score
时间窗: up to 12 hours
次要结局
未报告次要终点
研究者
Hany Mostafa Esmaeil Osman
Principal Investigator
Assiut University