Paravertebral Versus Caudal Block in Pediatric PCNL
Study Details
Study Description
Brief Summary
To compare the efficacy of Ultrasound guided thoracic paravertebral block versus ultrasound guided caudal epidural block in pediatric patients undergoing percutaneous nephrolithotomy
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
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.
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.
Caudal epidural block involves placing a needle through the sacral hiatus to deliver medications into the epidural space. This approach is used widely used for surgical anesthesia and analgesia in pediatric patients.
this work aims to compare the efficacy of Ultrasound guided thoracic paravertebral block versus ultrasound guided caudal epidural block in pediatric patients undergoing percutaneous nephrolithotomy
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Paravertebral Ultrasound-guided thoracic paravertebral block |
Procedure: Paravertebral
Ultrasound-guided paravertebral block
|
Active Comparator: Caudal Caudal block |
Procedure: Caudal block
Caudal block
|
Outcome Measures
Primary Outcome Measures
- Blood pressure during surgery in mmHg [through the surgery, an average of 2 hours]
- Heart rate (beats/minute) [through the surgery, an average of 2 hours]
- The concentration of sevoflurane in % [through the surgery, an average of 2 hours]
- Postoperative pain using FLACC score [up to 12 hours]
Eligibility Criteria
Criteria
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
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Assiut University | Assiut | Egypt | 71515 |
Sponsors and Collaborators
- Assiut University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Paravertebral Caudal PCNL