Health Condition 1: N20- Calculus of kidney and ureter
Conditions
Interventions
Intervention1: Ultrasound guided Erector Spinae Block: Under aseptic conditions, ultrasound guided erector spinae blockade will be performed between T9-T11 level with 20 ml of 0.375% ropivacaine and 0
Sponsors
AIIMS New Delhi
Eligibility
Inclusion criteria
Inclusion criteria: ASA 1 & 2 patients scheduled to undergo elective percutaneous nephrolithotomy surgery for renal and upper ureteric stone requiring bladder catheterization under general anesthesia.
Exclusion criteria
Exclusion criteria: 1.Patients refusal 2.ASA III OR IV 3.Allergy to any of the study drugs 4.Contraindications to regional technique e.g., allergy to local anaesthetic drugs, infection around site of block ,any coagulation disorder, sepsis 5. History of analgesic dependence (long term use) and opiate tolerance 6. Contraindications to intrathecal morphine e.g., local infection (administration site), systemic infection, coagulopathy, raised intracranial pressure, metastatic disease of the vertebral column, sleep apnoea syndrome, or a history of postdural puncture headache (PDPH) or frequent headaches of any type. 7. Epilepsy and psychiatric disturbances
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Perioperative opioid consumption in Erector spinae block and Intrathecal Morphine GroupsTimepoint: Intraoperatively fentanyl usefrom the beginning of the surgery till the end of surgery. Postoperative fentanyl usage at 0 min, 30 mins,1 hr, 2 hrs, 4 hrs, 6 hrs and 24 hrs | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Hemodynamic response to surgical stimulus during the procedure 2. Postoperative nausea and vomiting till 24 hours 3. Postoperative opioid consumption till 24 hours 4. Visual Analogue Scale score upon arrival in the PACU 5. Time to first analgesic requirement after surgery 6. Urethral irritation till 24 hours 7. Incidence of drug related side effects in both the groupsTimepoint: 1. Intraoperatively at induction of anaesthesia, 5 minutes after induction and at 10 mins, and every 10 mins till the end of surgery. 2-6.Postoperatively at 0 min,30 mins, 1 hr, 2 hrs, 4 hrs, 6 hrs, 24 hrs. 7. Intraoperatively at 0 mins after the procedure and every 10 mins till end of surgery and postoperatively at 0 min, 30 mins, 1 hr, 2 hrs, 4 hrs, 6 hrs and 24 hrs. | — |
Countries
India
Contacts
Public ContactMadhurjya Baishya
AIIMS, New Delhi
Outcome results
None listed