Health Condition 1: N200- Calculus of kidney
Conditions
Interventions
Intervention1: intercoastal nerve block: intercostal nerve blockade along 10, 11 and 12th intercostal spaces with 0.5% ropivacaine 5 ml in each space. Interventions will be performed under fluoroscopi
Sponsors
department of anaesthesiology and critical care
Eligibility
Inclusion criteria
Inclusion criteria: Patients aged between 18-60 years of either sex, belonging to American Society of Anesthesiologists (ASA) physical status (I and II) scheduled to undergo tubeless percutaneous nephrolithotomy under spinal anaesthesia for a single renal stone of >2cm diameter and requiring single subcostal puncture will be included in this study.
Exclusion criteria
Exclusion criteria: Contraindications to spinal anaesthesia such as coagulopathy infection at the site of lumbar puncture Known history of hypersensitivity/anaphylaxis/ contraindications to ropivacaine or its components Pregnancy Mental disorders/illness Excessive intraoperative bleeding More than one puncture and requiring supra-costal puncture ,BMI >30kgm-2 Chronic drug/analgesic abuse Refusal to give consent Surgical procedure >3hrs will be excluded from the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare post operative visual analogue scale(VAS) following PTI versus ICNB with ropivacaine in patients undergoing tubelessPCNLTimepoint: recovery room 0 hrs 2hrs 4hrs 6hrs 24hrs | — |
Secondary
| Measure | Time frame |
|---|---|
| Change in hemodynamics and respiratory parametersTimepoint: Change in hemodynamics and respiratory parameters;Duration of post operative analgesiaTimepoint: Duration of post operative analgesia;Dynamic visual analogue scale (DVAS) Timepoint: recovery room 0 hrs 2hrs 4hrs 6hrs 24hrs;Mean number of doses and total analgesic consumption in 24 hoursTimepoint: Mean number of doses and total analgesic consumption in 24 hours;Side effects, if anyTimepoint: Side effects, if any | — |
Countries
India
Contacts
Public ContactMadhuri garg
Pt BD Sharma PGIMS Rohtak
Outcome results
None listed