Ultrasound Guided Thoracic Paravertebral Block Versus Ultrasound Guided Caudal Epidural Block in Pediatric Patients Undergoing Percutaneous Nephrolithotomy
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Kidney Stones
- Sponsor
- Assiut University
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Heart rate (beats/minute)
- Last Updated
- 4 years ago
Overview
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
Investigators
Hany Mostafa Esmaeil Osman
Principal Investigator
Assiut University
Eligibility Criteria
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
Outcomes
Primary Outcomes
Heart rate (beats/minute)
Time Frame: through the surgery, an average of 2 hours
Blood pressure during surgery in mmHg
Time Frame: through the surgery, an average of 2 hours
The concentration of sevoflurane in %
Time Frame: through the surgery, an average of 2 hours
Postoperative pain using FLACC score
Time Frame: up to 12 hours