Analgesic efficacy of ultrasound guided paravertebral block in percutaneous nephrolithotomy patients: a randomized controlled clinical study
Abstract Background Paravertabral blocks (PVB) are in use to adequately manage pain arising from a variety of operations on the thorax, abdomen or pelvis. PVB is straightforward, efficacious in operations performed. This study was undertaken to evaluate how efficacious ultrasound-guided thoracic par...
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| Format: | Article |
| Language: | English |
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BMC
2020-09-01
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| Series: | BMC Anesthesiology |
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| Online Access: | http://link.springer.com/article/10.1186/s12871-020-01169-6 |
| _version_ | 1828382009502728192 |
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| author | Ferda Yaman Devrim Tuglu |
| author_facet | Ferda Yaman Devrim Tuglu |
| author_sort | Ferda Yaman |
| collection | DOAJ |
| description | Abstract Background Paravertabral blocks (PVB) are in use to adequately manage pain arising from a variety of operations on the thorax, abdomen or pelvis. PVB is straightforward, efficacious in operations performed. This study was undertaken to evaluate how efficacious ultrasound-guided thoracic paravertebral block is when used in patients undergoing percutaneous nephrolithotomy (PCN). Methods A total of 44 patients, falling in categories I to III of the American Society of Anesthesiologists, and aged between 18 and 65 years, who were scheduled for PCN, were randomly distributed into two groups. The anaesthetic intervention group (PVB) contained 22 individuals, who were injected at level T8-T9 with 20 mL 0.25% bupivacaine as a single administration. In the control group C, also containing 22 individuals, the intervention was not carried out. The groups were compared after PCN in terms of opioid use, pain score, opioid adverse effects profile and the need for supplemental analgesia. Results Visual analogue scale pain scores whilst at rest or moving were lower at the level of statistical significance in the PVB group compared to controls at 2 and 4 h post-surgery. At 6 and 8 h post-surgery, the control group had a lower VAS score when moving, and this result reached statistical significance (p < 0.05). The controls used more opioid relief than the PVB group and had lower scores for satisfaction (p < 0.05). Conclusion Ultrasound-guided PVB using bupivacaine and an in-plane technique provides effective analgesia in PNL. It is associated with high scores on patient satisfaction and minimal complications. Trial registration ClinicalTrials.gov , NCT04406012. Registered retrospectively, on 27 May 2020. |
| first_indexed | 2024-12-10T04:25:00Z |
| format | Article |
| id | doaj.art-999b41b9484d48c1a6e411b3e937cc95 |
| institution | Directory Open Access Journal |
| issn | 1471-2253 |
| language | English |
| last_indexed | 2024-12-10T04:25:00Z |
| publishDate | 2020-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Anesthesiology |
| spelling | doaj.art-999b41b9484d48c1a6e411b3e937cc952022-12-22T02:02:18ZengBMCBMC Anesthesiology1471-22532020-09-012011810.1186/s12871-020-01169-6Analgesic efficacy of ultrasound guided paravertebral block in percutaneous nephrolithotomy patients: a randomized controlled clinical studyFerda Yaman0Devrim Tuglu1Department of Anesthesiology and Reanimation, Faculty of Medicine, University of Eskişehir OsmangaziDepartment of Urology, Faculty of Medicine, University of KırıkkaleAbstract Background Paravertabral blocks (PVB) are in use to adequately manage pain arising from a variety of operations on the thorax, abdomen or pelvis. PVB is straightforward, efficacious in operations performed. This study was undertaken to evaluate how efficacious ultrasound-guided thoracic paravertebral block is when used in patients undergoing percutaneous nephrolithotomy (PCN). Methods A total of 44 patients, falling in categories I to III of the American Society of Anesthesiologists, and aged between 18 and 65 years, who were scheduled for PCN, were randomly distributed into two groups. The anaesthetic intervention group (PVB) contained 22 individuals, who were injected at level T8-T9 with 20 mL 0.25% bupivacaine as a single administration. In the control group C, also containing 22 individuals, the intervention was not carried out. The groups were compared after PCN in terms of opioid use, pain score, opioid adverse effects profile and the need for supplemental analgesia. Results Visual analogue scale pain scores whilst at rest or moving were lower at the level of statistical significance in the PVB group compared to controls at 2 and 4 h post-surgery. At 6 and 8 h post-surgery, the control group had a lower VAS score when moving, and this result reached statistical significance (p < 0.05). The controls used more opioid relief than the PVB group and had lower scores for satisfaction (p < 0.05). Conclusion Ultrasound-guided PVB using bupivacaine and an in-plane technique provides effective analgesia in PNL. It is associated with high scores on patient satisfaction and minimal complications. Trial registration ClinicalTrials.gov , NCT04406012. Registered retrospectively, on 27 May 2020.http://link.springer.com/article/10.1186/s12871-020-01169-6UltrasoundParavertebral blockPercutaneous nephrolithotomy |
| spellingShingle | Ferda Yaman Devrim Tuglu Analgesic efficacy of ultrasound guided paravertebral block in percutaneous nephrolithotomy patients: a randomized controlled clinical study BMC Anesthesiology Ultrasound Paravertebral block Percutaneous nephrolithotomy |
| title | Analgesic efficacy of ultrasound guided paravertebral block in percutaneous nephrolithotomy patients: a randomized controlled clinical study |
| title_full | Analgesic efficacy of ultrasound guided paravertebral block in percutaneous nephrolithotomy patients: a randomized controlled clinical study |
| title_fullStr | Analgesic efficacy of ultrasound guided paravertebral block in percutaneous nephrolithotomy patients: a randomized controlled clinical study |
| title_full_unstemmed | Analgesic efficacy of ultrasound guided paravertebral block in percutaneous nephrolithotomy patients: a randomized controlled clinical study |
| title_short | Analgesic efficacy of ultrasound guided paravertebral block in percutaneous nephrolithotomy patients: a randomized controlled clinical study |
| title_sort | analgesic efficacy of ultrasound guided paravertebral block in percutaneous nephrolithotomy patients a randomized controlled clinical study |
| topic | Ultrasound Paravertebral block Percutaneous nephrolithotomy |
| url | http://link.springer.com/article/10.1186/s12871-020-01169-6 |
| work_keys_str_mv | AT ferdayaman analgesicefficacyofultrasoundguidedparavertebralblockinpercutaneousnephrolithotomypatientsarandomizedcontrolledclinicalstudy AT devrimtuglu analgesicefficacyofultrasoundguidedparavertebralblockinpercutaneousnephrolithotomypatientsarandomizedcontrolledclinicalstudy |