The study will investigate the effects of ultrasound-guided ESPB and RLB on intraoperative and postoperative analgesia in patients undergoing PCNL to identify a safe and effective regional block method for postoperative analgesia
All the patients will be blinded to the intervention received in this study. All patients will receive standard general anesthesia technique with endotracheal intubation and muscle paralysis. Postoperatively, all patients will receive analgesia in the form of non-steroidal anti-inflammatory drugs and paracetamol. In case the VAS scores exceeded 4 in any group, the patients will receive rescue analgesia with 25 mg IV meperidine. In both groups, the ESPB and RLB will be performed after induction of general anesthesia using portable ultrasound device.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
120
ESPB
RLB
Ahmed S.Shehab
Alexandria, Egypt
measurement of visual analogue score
measurement of visual analogue score during rest and movement. The Score range from 0-10. 0 means no pain and 10 indicates the worst pain ever
Time frame: after the surgery average 48 hours postoperative
postoperative additional analgesic requirement
Total cumulative analgesic requirement dose
Time frame: after the surgery average 48 hours postoperative
assessing the patient satisfaction by a the short assessment of patient satisfaction score (SAPS)
from 0 to 28, where 0 is so dissatisfied and 28 means very satisfied
Time frame: after the surgery average 48 hours postoperative
Time to ambulate
Time from discharge from the operating theatre to start to ambulate
Time frame: after the surgery average 12 hours postoperative
presence of postoperative nausea and vomiting
Number of postoperative nausea and vomiting
Time frame: after the surgery average 48 hours postoperative
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