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To compare the efficacy of ultrasound-guided erector spinae plane block versus ultrasound-guided paravertebral block in pediatric patients undergoing percutaneous nephrolithotomy
Percutaneous Nephrolithotomy (PCNL) is a commonly performed surgical procedure for complex upper renal tract calculi. Although the skin incision for PCNL appears small, the intensity of intraoperative and postoperative pain is significant owing to soft tissue injury.
Erector spinae plane (ESP) block is an interfascial block that was first described by Forero et al. in 2016. It can be performed by injecting the local anesthetic in the deep interfascial plane of the erector spinae muscle to provide both visceral and somatic analgesia with a sensory level from T2-4 to L1-2.
. Paravertebral block is the technique of injecting local anesthetics in a space immediately lateral to where the spinal nerves emerge from the intervertebral foramina. This technique is used increasingly for intra-operative and post-operative.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Erector spinae plane block | Experimental | Ultrasound-guided erector spinae plane block |
|
| Paravertebral | Experimental | Ultrasound-guided thoracic paravertebral block |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Erector spinae plane block | Procedure | Ultrasound-guided erector spinae plane block |
|
| Measure | Description | Time Frame |
|---|---|---|
| Total consumption of nalbuphine | The first 24 hours postoperatively | |
| Time to first rescue analgesia | The first 24 hours postoperatively |
| Measure | Description | Time Frame |
|---|---|---|
| The concentration of sevoflurane in percent | Through the surgery, an average of 2 hours | |
| Systolic, diastolic, and mean blood pressure during surgery in mmHg | Through the surgery, an average of 2 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Assiut University | Asyut | 71515 | Egypt |
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| ID | Term |
|---|---|
| D053040 | Nephrolithiasis |
| ID | Term |
|---|---|
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| Paravertebral block | Procedure | Ultrasound-guided paravertebral block |
|
| D000091642 | Urogenital Diseases |
| D052878 | Urolithiasis |
| D052801 | Male Urogenital Diseases |