Erector Spinae Plane Block for Analgesia During ESWL | NCT07067996 | Trialant

Erector Spinae Plane Block for Analgesia During ESWL | NCT07067996 | Trialant

Arms/Interventions Module

Arm Groups

Label	Type	Description	Intervention Names
group A : will receive Erector Spinae Plane Block in the prone position after URS.	Active Comparator	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.	Procedure: erector spinae plane block
group B : will receive nalbuphine	Active Comparator	•(Group B) patients will receive opioids ,nalbuphine( ,1 )mg/kg over 10 minutes then repeat the dose if needed &monitoring patients for respiratory depression	Drug: Nalbuphine

Interventions

Name	Type	Description	Arm Group Labels	Other Names
erector spinae plane block	Procedure	erector spinae plane block will be given as intraoperive analgesia for patients undergoing Extracorporeal shock wave lithotripsy	group A : will receive Erector Spinae Plane Block in the prone position after URS.

Outcomes Module

Primary Outcomes

Measure	Description	Time Frame
This study aims to evaluate the efficacy of Erector Spinae Plane Block analgesia for patients undergoing ESWL &compare between it and conventional multimodal Analgesia .	postoperative pain by visual analog score from 0 to 10 (where 0 indicates no pain and 10 the worst possible pain	6 hours postopertive

Contacts/Locations Module

References Module

Citations

PubMed Identifier	Type	Citation	Retractions
37084807	Result	Karaaslan M, Olcucuoglu E, Kurtbeyoglu S, Tonyali S, Yilmaz M, Odabas O. Erector spinae plane block prior to extracorporeal shock wave lithotripsy decreases fluoroscopy time and promise a comfortable procedure for renal stones: A prospective randomized study. Actas Urol Esp (Engl Ed). 2023 Nov;47(9):566-572. doi: 10.1016/j.acuroe.2023.04.001. Epub 2023 Apr 20. English, Spanish.
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