Dual Approach External Oblique Fascial Plane Block Versus Erector Spinae Plane Block for Post Operative Analgesia in Percutaneous Nephrolithotomy
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 90
研究概览
简要总结
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- **Brief Summary**
Percutaneous nephrolithotomy (PCNL) is a common surgical procedure used to remove large kidney stones. Patients often experience moderate to severe pain after this surgery due to the surgical incision and irritation of the kidney and surrounding tissues. Effective pain control after PCNL is important to improve patient comfort, reduce the need for opioid medications, and enhance recovery.
Several regional anesthesia techniques have been developed to reduce postoperative pain. Two of these techniques are the dual-approach external oblique fascial plane block and the erector spinae plane block. Both techniques involve injecting a local anesthetic near specific muscle planes using ultrasound guidance to reduce pain signals from the surgical area. However, it is not yet clear which of these two techniques provides better pain relief after PCNL.
This study aims to compare the effectiveness of the dual-approach external oblique fascial plane block and the erector spinae plane block in controlling pain after PCNL surgery. Adult patients scheduled for PCNL will be randomly assigned to receive one of the two nerve block techniques or standard general anesthesia alone. Pain levels, additional pain medication requirements, patient satisfaction, and any block-related complications will be assessed during the first 24 hours after surgery.
The results of this study may help determine the most effective regional anesthesia technique for improving postoperative pain management in patients undergoing PCNL.
详细描述
Here is a **ClinicalTrials.gov-compliant Detailed Description** that is **clear, structured, non-duplicative**, and suitable for reviewers.
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- **Detailed Description**
This prospective, randomized, double-blind controlled clinical study is designed to compare the postoperative analgesic efficacy of two ultrasound-guided regional anesthesia techniques-the dual-approach external oblique fascial plane block and the erector spinae plane block-in adult patients undergoing percutaneous nephrolithotomy (PCNL).
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
- Double (Participant, Outcomes Assessor)
盲法说明
Participants and postoperative outcome assessors are blinded to group allocation. Randomization is performed using sealed opaque envelopes opened by an anesthesiologist not involved in postoperative assessment. The anesthesiologist performing the block is not blinded due to the nature of the interventions.
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
- •Age between 18 and 65 years
- •American Society of Anesthesiologists (ASA) physical status I or II
- •Body mass index (BMI) between 18 and 35 kg/m²
- •Scheduled for unilateral percutaneous nephrolithotomy (PCNL)
- •Ability to understand the study protocol and provide written informed conse
排除标准
- •Refusal to participate
- •Known allergy or hypersensitivity to local anesthetics
- •Infection at the site of block injection
- •Coagulopathy or bleeding disorders
- •Chronic pain syndrome or long-term opioid use
- •Severe hepatic, renal, or cardiac disease
研究者
Amira S kenawy ,md
Lecturer of Anesthesia, Intensive Care, and Pain Management
Zagazig University