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Comparing standard of care to erector spinae plane block for acute renal colic pain.
Will compare at times 0, 10 minute, 20 minute, 40 minute and 60 minutes after local nerve block given.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ESP Nerve Block for Renal colic | Active Comparator | On top of receiving standard of care, At T8 nerve level, with ultrasound guidance to bathe the nerve |
|
| Standard of care | Active Comparator | Whatever medications the clinician normally treats renal colic with |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ropivacaine injection | Drug | Local anesthesia injected under ultrasound guidance |
|
| Measure | Description | Time Frame |
|---|---|---|
| Baseline Pain before intervention | Using the Visual Analog Scale for Pain Assessment Tool with 0 meaning "No pain" and 10 meaning "Unbearable Pain" | Before the ESP Block |
| Pain score at 10 minutes | Using the Visual Analog Scale for Pain Assessment Tool with 0 meaning "No pain" and 10 meaning "Unbearable Pain" | 10 minutes after the ESP Block |
| Pain score at 20 minutes | Using the Visual Analog Scale for Pain Assessment Tool with 0 meaning "No pain" and 10 meaning "Unbearable Pain" | 20 minutes after ESP Block |
| Pain score at 40 minutes | Using the Visual Analog Scale for Pain Assessment Tool with 0 meaning "No pain" and 10 meaning "Unbearable Pain | 40 minutes after ESP Block |
| Pain score at 60 minutes | Using the Visual Analog Scale for Pain Assessment Tool with 0 meaning "No pain" and 10 meaning "Unbearable Pain | 60 minutes after ESP Block |
| Measure | Description | Time Frame |
|---|---|---|
| Need for extra opiates | Record how much opioids patients receives starting after the ESP Block for both the "standard of care" patients and the ESP Block group | Starting from time 0 after the ESP Block intervention completed till discharge or urology intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Michael Secko, MD | StonyBrook University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| StonyBrook University Hospital | Stony Brook | New York | 11794 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33099855 | Background | Aydin ME, Tekin E, Ahiskalioglu EO, Ates I, Karagoz S, Aydin OF, Ozkaya F, Ahiskalioglu A. Erector spinae plane block vs non-steroidal anti-inflammatory drugs for severe renal colic pain: A pilot clinical feasibility study. Int J Clin Pract. 2021 Mar;75(3):e13789. doi: 10.1111/ijcp.13789. Epub 2020 Nov 9. |
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| ID | Term |
|---|---|
| D056844 | Renal Colic |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D000077212 | Ropivacaine |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
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Standard of care group + sham normal saline ESP block vs Standard of care + Ropivacaine ESP nerve Block group
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Participant will not know which type of block they receive
| Standard of care medications | Other | Whatever the ED clinicians normally give for renal colic pain |
|
| D000588 |
| Amines |