Erector Spinae Versus Paravertebral in Pediatric PCNL

Not Applicable

Completed

• Conditions: Nephrolithotomy; Renal Stone; Percutaneous
• Interventions: Procedure: Erector spinae plane block; Procedure: Paravertebral block

• Registration Number: NCT05589649
• Lead Sponsor: Assiut University

Brief Summary

To compare the efficacy of ultrasound-guided erector spinae plane block versus ultrasound-guided paravertebral 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.

Erector spinae plane (ESP) block is an interfascial block that was first described by Forero et al. in 2016. It can be performed by injecting the local anesthetic in the deep interfascial plane of the erector spinae muscle to provide both visceral and somatic analgesia with a sensory level from T2-4 to L1-2.

. 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.

Study Timeline

• Study First Submitted: 2022-10-18
• Study First Submitted QC: 2022-10-18
• Study First Posted: 2022-10-21
• Study Start: 2022-10-26
• Primary Completion: 2023-09-27
• Study Completion: 2023-12-27
• Status Verified: 2024-01
• Last Update Submitted: 2024-01-09
• Last Update Posted: 2024-01-10

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 56

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
Erector spinae plane block	Erector spinae plane block	Ultrasound-guided erector spinae plane block
Paravertebral	Paravertebral block	Ultrasound-guided thoracic paravertebral block

Primary Outcome Measures

Name	Time	Method
Total consumption of nalbuphine	The first 24 hours postoperatively
Time to first rescue analgesia	The first 24 hours postoperatively

Secondary Outcome Measures

Name	Time	Method
The concentration of sevoflurane in percent	Through the surgery, an average of 2 hours
Systolic, diastolic, and mean blood pressure during surgery in mmHg	Through the surgery, an average of 2 hours

Trial Locations

Locations (1)

Assiut University; 🇪🇬 Assiut, Egypt