SHOULD THE ERECTOR SPİNAE PLANE BLOCK BE APPLIED IN THE PAIN MANAGEMENT OF PERCUTANOUS NEPHROLITOTOMY SURGERY?
试验速览
- 阶段
- 不适用
- 入组人数
- 3
- 试验地点
- 1
- 主要终点
- Visual Analog Scale
研究概览
简要总结
This study investigates the effectiveness of the erector spinae plane block (ESPB) in pain management of patients undergoing PNL.
详细描述
Although percutaneous nephrolithotomy(PNL) is a minimally invasive procedure, it causes severe postoperative pain due to dilatation of the renal capsule and parenchymal duct and peritubal distension of the nephrostomy tube. PNL-related pain has a limited response to oral and intravenous treatments. The primary aim of our study is to investigate the effectiveness of the erector spinae plane block (ESPB) in pain management of patients undergoing PNL.
Our secondary aim is determining if any possible clinical effect of ESPB in terms of serial peak expiratory flow measurements, postoperative agitation score of the patient (Riker Score), ambulation time, length of hospital stay.
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
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients undergoing PNL between 18-65 years old
排除标准
- •serious cardiac, respiratory, hepatic, renal or haemotologic disease
- •mental disorder and hearing problem
- •anxiety, depression and / or other psychiatric disorders
- •pregnancy
- •refusal of patient
- •Allergy or contraindications to drugs used in the study
- •ASA > 2 Inflammation or infection over injection site Obese patients BMI ≥35/
研究组 & 干预措施
Group 1:Conventional intravenous analgesia
Conventional intravenous analgesia applied according to surgeon's preference
Group 2:ESPB
A 6-13 MHz linear probe was used for ultrasound-guided ESPB (Logiq e, General Electric, USA,) performed at the T11 level. The transverse process was detected by sliding the transducer 3-4 cm laterally from the midline, and after identification of the transverse process, a 20-gauge 100mm insulated echogenic needle (Vygon locoplex, France) was used
干预措施: erector spinae block (Procedure)
结局指标
主要结局
Visual Analog Scale
时间窗: postoperative 24 hours
the amount of pain that a patient feels ranges across a continuum from none(0) to an extreme amount of pain(10) on a chart.
Dynamic Visual Analog Scale
时间窗: postoperative 24 hours
the amount of pain during mobilization, deep breathing or coughing that a patient feels ranges across a continuum from none(0) to an extreme amount of pain(10) on a chart
Peak Expiratory Flow Rate( PEFR)
时间窗: postoperative 24 hours
maximum speed of expiration as measured with a peak flow meter
次要结局
- nausea and vomiting(24 hours)
- Time for first analgesic requirement(24 hours)
- ambulation time(5 days)
- length of hospital stay(1 week)
- Rikert Agitation Scale(24 hours)
- patient satisfaction with anesthesia and analgesia(24 hour)
- starting oral intake(48 hours)
- urinary catheter releated pain score(Visual Analog Scale)(postoperative 24 hours)
- surgeon satisfaction with anesthesia and analgesia(24 hour)
研究者
semih başkan
assistant professor
Ankara City Hospital Bilkent