Intravenous Lidocaine Infusion Versus Ultrasound Guided Erector Spinae Plane Block for Postoperative Analgesia in Patients Undergoing Percutaneous Nephrolithotomy
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Ain Shams University
- Enrollment
- 150
- Locations
- 1
- Primary Endpoint
- Time to first rescue analgesia
Study Overview
Brief Summary
Percutaneous nephrolithotomy (PCNL) is a minimally invasive procedure to remove stones from the kidney by a small puncture wound through the skin. Patients receiving lidocaine infusion had lower pain scores, reduced postoperative analgesic requirements and decreased intraoperative anesthetic requirements. Erector spinae plane block (ESPB) seems to be effective when compared with no block or a placebo block.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- Double (Participant, Care Provider)
Eligibility Criteria
- Ages
- 21 Years to 55 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •American Society of Anesthesiologists (ASA) score I-II..
- •Body mass index < 35 kg/m2.
Exclusion Criteria
- •Patient's refusal.
- •Known coagulopathy.
- •Known peripheral neuropathy or neurological deficits.
- •Chronic pain disorders.
- •Known allergy to study drugs
Arms & Interventions
Intravenous lidocaine infusion
Intervention: Intravenous lidocaine infusion (Drug)
Erector spinae plane block (ESPB)
Intervention: Erector spinae plane block (ESPB) (Other)
Intravenous infusion of normal saline and ESPB with normal saline
Intervention: Intravenous infusion of normal saline (Other)
Intravenous infusion of normal saline and ESPB with normal saline
Intervention: ESPB with normal saline (Other)
Outcomes
Primary Outcomes
Time to first rescue analgesia
Time Frame: 24 hours postoperatively
Time to first rescue analgesia
Secondary Outcomes
No secondary outcomes reported
Investigators
Ibrahim Mamdouh Esmat
Assistant Professor of Anesthesia and Intensive Care Department, Faculty of Medicine, Ain- shams University, Cairo, Egypt.
Ain Shams University