Erector Spinae Plane Block for Analgesia During ESWL
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- This study aims to evaluate the efficacy of Erector Spinae Plane Block analgesia for patients undergoing ESWL &compare between it and conventional multimodal Analgesia .
研究概览
简要总结
this study aims to compare between efficacy of erector spinae plane block and conventional multimodal analgesia in Extracorporeal shock wave lithotripsy
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 21 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult Patients undergoing ESWL with 2-3 cm renal stones
- •patients between the ages of 21 and 60,
- •both sexes,
- •BMI ≥18≤30 kg/m²
- •Able to give informed consent.
- •Patients older than 18 years with American Society of Anesthesiologists Physical Status I or II and
排除标准
- •Coagulopathy or on anticoagulants
- •Infection at the ESPB injection site
- •BMI ≥30 kg/m²
- •Patient refusal.
- •patients with advanced respiratory, renal, hepatic, neurological, or psychiatric disease, pregnant or nursing women.
- •patients with a history of allergies to any study drugs
研究组 & 干预措施
group B : will receive nalbuphine
•(Group B) patients will receive opioids ,nalbuphine( ,1 )mg/kg over 10 minutes then repeat the dose if needed &monitoring patients for respiratory depression
干预措施: Nalbuphine (Drug)
group A : will receive Erector Spinae Plane Block in the prone position after URS.
- Patients in the block group (Group A)will receive the ESPB in the prone position after URS. ESPB needle insertion sites will be tolerated to the location of the stone, between T7-T10 vertebra levels. With these adjustments, Following the marking of the thoracic vertebrae levels with a marker pen,
- The intervention will be initiated when the transverse processes and costotransverse joints on the relevant level will be distinguished using a high frequency(10-15 MHZ) linear ultrasound probe. The needle will be inserted at a 30° angle to the skin in an in-plane and craniocaudal fashion
- Proper placement will be confirmed with ultrasonography and then 20 mL of 0.25% bupivacaine solution&5 ml lidocaine 1% will be administered through the needle for intraoperative and postoperative anaglesia.
干预措施: erector spinae plane block (Procedure)
结局指标
主要结局
This study aims to evaluate the efficacy of Erector Spinae Plane Block analgesia for patients undergoing ESWL &compare between it and conventional multimodal Analgesia .
时间窗: 6 hours postopertive
postoperative pain by visual analog score from 0 to 10 (where 0 indicates no pain and 10 the worst possible pain
次要结局
未报告次要终点
研究者
Amr Abdelsabor
Resident, Anesthesia,Sugical Icu,Pain management Faculty of Medicine Sohag Univesity
Sohag University