Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: ESP block will be performed in patients undergoing percutaneous nephrolithotomy: Before induction of spinal anaesthesia, Erector spinae plane block will be performed on operative side u
Sponsors
Pt B D Sharma PGIMS Rohtak
Eligibility
Inclusion criteria
Inclusion criteria: Adult patients aged 18 to 65 years of either sex with American society of Anaesthesiologists (ASA), physical status I or II scheduled to undergo PCNL surgery with flank incision under spinal anaesthesia will be included in the study
Exclusion criteria
Exclusion criteria: All patients aged less than 18 and more than 65 years having coagulopathies, allergic reactions to local anaesthetic, infection at the block site, pregnancy, BMI more than 30kg per meter square, chronic kidney disease patients, refusal to give consent will not be included in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of patients requiring rescue analgesia (Intravenous Tramadol 50mg) in first 24 hours after surgeryTimepoint: Assessed continuously from completion of intervention until 24 hours post operatively. Requirement for rescue analgesia will be recorded at PACU admission, 30 mins, 2 hours, 4 hours, 6 hours, 12 hours and 24 hours post operatively. | — |
Secondary
| Measure | Time frame |
|---|---|
| Time to demand first rescue analgesia, postoperative pain score evaluation using visual analogue scale at rest & at deep breathing till 24 hours post operatively, total post operative analgesia requirement, Ramsay sedation score post operatively & to see any block related complications, total post operative analgesic requirementTimepoint: Outcome will be assessed post operatively by using VAS scale at rest & deep breathing at PACU admission, 30 mins, 2 hours, 4 hours, 6 hours, 12 hours, 24 hours post operatively, Ramsay sedation score at PACU admission, 30mins, 2 hours, 4 hours, 6 hours, 12 hours & 24 hours post operatively & time to first rescue analgesia & total dose of analgesia (iv tramadol) given will be calculated in first 24 hours post operatively | — |
Countries
India
Contacts
Public ContactDr Ritul
Pt. B.D Sharma PGIMS Rohtak, Haryana
Outcome results
None listed