Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: GROUP I: Multiple Injectate Costo-Transverse Foramen Block: The costotransverse block will be performed with the patient in the prone position, using a linear (13-6 MHz) or curvilinear
Sponsors
All India Institute of Medical Sciences
Eligibility
Inclusion criteria
Inclusion criteria: Patients of ASA I - II aged between 18 & 65 years scheduled to undergo elective percutaneous nephrolithotomy surgery for renal and upper ureteric stone under general anesthesia
Exclusion criteria
Exclusion criteria: 1. Patientsâ?? 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 morphine e.g., local infection (administration site), systemic infection, coagulopathy, raised intracranial pressure, metastatic disease of the vertebral column, sleep apnea syndrome 7. Epilepsy and psychiatric disturbances 8. Conversion to open.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total analgesic requirements (cumulative morphine consumption in 24 hours).Timepoint: from the end of surgery up to 24 hours in the post operative period. | — |
Secondary
| Measure | Time frame |
|---|---|
| 11-point NRS scores at rest and at movement in postoperative period at the time interval of 2 hours, 4 hours, 6 hours,12 hours and 24 hours.Timepoint: from the end of surgery up to 24 hours in the post operative period.;Adverse events in 24 hoursTimepoint: from the end of surgery up to 24 hours in the post operative period.;Analgesic requirement at the end of 2 hours, 4 hours, 6 hours, 12 hours and 24 hoursTimepoint: from the end of surgery up to 24 hours in the post operative period.;Duration of analgesia (time for the first analgesia injection in postoperative period).Timepoint: from the end of surgery up to 24 hours in the post operative period.;Patient Satisfaction Score.Timepoint: from the end of surgery up to 24 hours in the post operative period. | — |
Countries
India
Contacts
Public ContactDebesh Bhoi
All India Institute of Medical Sciences
Outcome results
None listed