Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Erector Spinae Plane Block: ESP block with 25ml 0.25% Inj. Bupivacaine and 0.5 mcg/kg Inj. Dexmedetomidine on the operated side at T10 vertebral level before extubation
Control Interven
Sponsors
AIIMS Bhubaneswar
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adult patients (Age >18 years and to II functional status undergoing laparoscopic nephrectomy under general anaesthesia under the Department of Urology in AIIMS, Bhubaneswar 2. Patients who can understand and provide a valid consent for the procedure and also can understand and are willing to report the pain using NRS score
Exclusion criteria
Exclusion criteria: 1. Patients who are currently suffering from chronic pain syndromes and are already under treatment with daily analgesics 2. Patients with local anaesthetic allergy 3. Patients in whom neuraxial/ regional blocks are contraindicated due to coagulopathies 4. Patients in whom the sono-anatomy of the anaesthetic injection site is not clearly delineable due to any reason.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total dose (in mg) of rescue analgesic (Injection Tramadol) required to achieve Numeric rating scale pain score less than 4 at rest in the first 24 hours post laparoscopic nephrectomyTimepoint: Cumulative dose at 24 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| Time needed to perform the blockTimepoint: Intraoperative;Time to first demand of rescue analgesiaTimepoint: within 24 hours post surgery;Pain scores (NRS) - at rest and dynamicTimepoint: 1st, 2nd, 3rd, 12th and 24th hour post surgery;Patient satisfaction as assessed by 5 point Likert scaleTimepoint: 24 hours post surgery | — |
Countries
India
Contacts
Public ContactMonalisa Sarkar
All India Institute Of Medical science, Bhubaneswar
Outcome results
None listed