Erector Spinae Versus Paravertebral in Pediatric PCNL

NCT ID: NCT05589649

Last Updated: 2024-01-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

56 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-26

Study Completion Date

2023-12-27

Brief Summary

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To compare the efficacy of ultrasound-guided erector spinae plane block versus ultrasound-guided paravertebral block in pediatric patients undergoing percutaneous nephrolithotomy

Detailed Description

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Percutaneous Nephrolithotomy (PCNL) is a commonly performed surgical procedure for complex upper renal tract calculi. Although the skin incision for PCNL appears small, the intensity of intraoperative and postoperative pain is significant owing to soft tissue injury.

Erector spinae plane (ESP) block is an interfascial block that was first described by Forero et al. in 2016. It can be performed by injecting the local anesthetic in the deep interfascial plane of the erector spinae muscle to provide both visceral and somatic analgesia with a sensory level from T2-4 to L1-2.

. Paravertebral block is the technique of injecting local anesthetics in a space immediately lateral to where the spinal nerves emerge from the intervertebral foramina. This technique is used increasingly for intra-operative and post-operative.

Conditions

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Renal Stone Percutaneous Nephrolithotomy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Erector spinae plane block

Ultrasound-guided erector spinae plane block

Group Type EXPERIMENTAL

Erector spinae plane block

Intervention Type PROCEDURE

Ultrasound-guided erector spinae plane block

Paravertebral

Ultrasound-guided thoracic paravertebral block

Group Type EXPERIMENTAL

Paravertebral block

Intervention Type PROCEDURE

Ultrasound-guided paravertebral block

Interventions

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Erector spinae plane block

Ultrasound-guided erector spinae plane block

Intervention Type PROCEDURE

Paravertebral block

Ultrasound-guided paravertebral block

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients undergoing percutaneous nephrolithotomy

Exclusion Criteria

* Coagulation disorders
* Infection at the site of injection
* Allergy to the local anesthetics used
* Spinal cord abnormalities or neurological deficits
Minimum Eligible Age

2 Years

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Hany Mostafa Esmaeil Osman

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Assiut University

Asyut, , Egypt

Site Status

Countries

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Egypt

Other Identifiers

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ESP versus Paravertebral

Identifier Type: -

Identifier Source: org_study_id

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