Study Results
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Basic Information
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RECRUITING
NA
60 participants
INTERVENTIONAL
2025-06-13
2025-12-15
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
OTHER
NONE
Study Groups
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group A : will receive Erector Spinae Plane Block in the prone position after URS.
* Patients in the block group (Group A)will receive the ESPB in the prone position after URS. ESPB needle insertion sites will be tolerated to the location of the stone, between T7-T10 vertebra levels. With these adjustments, Following the marking of the thoracic vertebrae levels with a marker pen,
* The intervention will be initiated when the transverse processes and costotransverse joints on the relevant level will be distinguished using a high frequency(10-15 MHZ) linear ultrasound probe. The needle will be inserted at a 30° angle to the skin in an in-plane and craniocaudal fashion
* Proper placement will be confirmed with ultrasonography and then 20 mL of 0.25% bupivacaine solution\&5 ml lidocaine 1% will be administered through the needle for intraoperative and postoperative anaglesia.
erector spinae plane block
erector spinae plane block will be given as intraoperive analgesia for patients undergoing Extracorporeal shock wave lithotripsy
group B : will receive nalbuphine
•(Group B) patients will receive opioids ,nalbuphine( ,1 )mg/kg over 10 minutes then repeat the dose if needed \&monitoring patients for respiratory depression
Nalbuphine
Nalbuphine will be given as intraopertive analgesia for patients undergoing Extracorporeal shock wave lithotripsy
Interventions
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erector spinae plane block
erector spinae plane block will be given as intraoperive analgesia for patients undergoing Extracorporeal shock wave lithotripsy
Nalbuphine
Nalbuphine will be given as intraopertive analgesia for patients undergoing Extracorporeal shock wave lithotripsy
Eligibility Criteria
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Inclusion Criteria
* patients between the ages of 21 and 60,
* both sexes,
* BMI ≥18≤30 kg/m²
* Able to give informed consent.
* Patients older than 18 years with American Society of Anesthesiologists Physical Status I or II and
Exclusion Criteria
* Infection at the ESPB injection site
* BMI ≥30 kg/m²
* Patient refusal.
* patients with advanced respiratory, renal, hepatic, neurological, or psychiatric disease, pregnant or nursing women.
* patients with a history of allergies to any study drugs
21 Years
60 Years
ALL
No
Sponsors
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Sohag University
OTHER
Responsible Party
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Amr Abdelsabor
Resident, Anesthesia,Sugical Icu,Pain management Faculty of Medicine Sohag Univesity
Locations
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Sohag University Hospital
Sohag, , Egypt
Countries
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Central Contacts
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Khaled M Hassan, professor
Role: CONTACT
Facility Contacts
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Magdy M Amin, professor
Role: primary
References
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Karaaslan M, Olcucuoglu E, Kurtbeyoglu S, Tonyali S, Yilmaz M, Odabas O. Erector spinae plane block prior to extracorporeal shock wave lithotripsy decreases fluoroscopy time and promise a comfortable procedure for renal stones: A prospective randomized study. Actas Urol Esp (Engl Ed). 2023 Nov;47(9):566-572. doi: 10.1016/j.acuroe.2023.04.001. Epub 2023 Apr 20. English, Spanish.
Yayik AM, Ahiskalioglu A, Erguney OD, Oral Ahiskalioglu E, Alici H, Demirdogen SO, Adanur S. Analgesic efficacy of ultrasound-guided quadratus lumborum block during extracorporeal shock wave lithotripsy. Agri. 2020 Jan;32(1):44-47. doi: 10.5505/agri.2017.54036.
Alhashemi JA, Kaki AM. Dexmedetomidine in combination with morphine PCA provides superior analgesia for shockwave lithotripsy. Can J Anaesth. 2004 Apr;51(4):342-7. doi: 10.1007/BF03018237.
Other Identifiers
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Soh-Med--25-6-8MS
Identifier Type: -
Identifier Source: org_study_id
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