Erector Spinae Plane (ESP) Block for Renal Colic

Can Erector Spinae Plane (ESP) Block Better Relieve Acute Renal Colic Pain Than Standard of Care

Status

Completed

Phases

Phase 4

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT05323175

Enrollment

Registered

2022-04-12

Start date

2022-04-25

Completion date

2026-01-09

Last updated

2026-06-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Renal Colic

Keywords

Erector spinae plane block

Brief summary

Comparing standard of care to erector spinae plane block for acute renal colic pain.

Detailed description

Will compare at times 0, 10 minute, 20 minute, 40 minute and 60 minutes after local nerve block given.

Interventions

DRUGRopivacaine injection

Local anesthesia injected under ultrasound guidance

OTHERStandard of care medications

Whatever the ED clinicians normally give for renal colic pain

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

OTHER

Masking

SINGLE (Subject)

Masking description

Participant will not know which type of block they receive

Intervention model description

Standard of care group + sham normal saline ESP block vs Standard of care + Ropivacaine ESP nerve Block group

Eligibility

Sex/Gender

ALL

Age

18 Years to 65 Years

Healthy volunteers

Yes

Inclusion criteria

* 18 to 65 years old * ASA Level I and II * flank pain concerning for renal colic in ED

Exclusion criteria

* pregnant women * subjects unable to appreciate ESP block landmarks under ultrasound * skin infection over needle site insertion * Allergy to local anesthesia (lidocaine/Ropivacaine) * bleeding disorders * serious cardiac, lung, liver or kidney dysfunction * history of spine surgery * history of spinal infection * history of epidural injection within 6 months * acute exacerbation of serious mental disease * unable to consent * unable to communicate pain level

Design outcomes

Primary

Measure	Time frame	Description
Baseline Pain before intervention	Before the ESP Block	Using the Visual Analog Scale for Pain Assessment Tool with 0 meaning "No pain" and 10 meaning "Unbearable Pain"
Pain score at 10 minutes	10 minutes after the ESP Block	Using the Visual Analog Scale for Pain Assessment Tool with 0 meaning "No pain" and 10 meaning "Unbearable Pain"
Pain score at 20 minutes	20 minutes after ESP Block	Using the Visual Analog Scale for Pain Assessment Tool with 0 meaning "No pain" and 10 meaning "Unbearable Pain"
Pain score at 40 minutes	40 minutes after ESP Block	Using the Visual Analog Scale for Pain Assessment Tool with 0 meaning "No pain" and 10 meaning "Unbearable Pain
Pain score at 60 minutes	60 minutes after ESP Block	Using the Visual Analog Scale for Pain Assessment Tool with 0 meaning "No pain" and 10 meaning "Unbearable Pain

Secondary

Measure	Time frame	Description
Need for extra opiates	Starting from time 0 after the ESP Block intervention completed till discharge or urology intervention	Record how much opioids patients receives starting after the ESP Block for both the "standard of care" patients and the ESP Block group

Countries

United States

Contacts

PRINCIPAL_INVESTIGATORMichael Secko, MD

StonyBrook University Hospital

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jun 4, 2026