Analgesic Efficacy of Paravertebral Bupivacaine During Percutaneous Nephrolithotomy: An Observer Blinded, Randomized Controlled Trial

Borle, Anuradha; Chhabra, Anjolie; Subramaniam, Rajeshwari; Rewari, Vimi; Saxena, Renu; Ramachandran, Rashmi; Kumar, Rajeev; Seth, Amlesh

doi:10.1089/end.2014.0179

Cited by 38 publications

(31 citation statements)

References 19 publications

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“…The 160 min to first postoperative analgesic requirement was consistent with the time point when the accessed VAS was the highest (3 h). This time was similar to the result of Anuradha's study [14] but shorter than that of Li et al [16] study who described 8.1 h to the first demand. However, in our study, only diclofenac sodium suppositories but not any intravenous drugs could meet the postoperative analgesic need.…”

Section: Discussionsupporting

confidence: 87%

“…Although until now there has been no consensus as to which method of anesthesia is optimal for PCNL, a trend for more precious and specialized nerve blocking is emerging. As highly localized pain management, PVB is widely used for postoperative analgesia or assistance to GA for PCNL [14,15] . To our knowledge, only 2 trials evaluated the efficiency of PVB as the single main anesthesia method for PCNL, while the results were promising [16,17] .…”

Section: Discussionmentioning

confidence: 99%

“…Different from former reports [14,16] , in this study, multiple segment injections were applied instead of a single-level injection for PVB. Normally, to relieve renal pain, a block over T10 to L1 segments was needed [18] .…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, bilateral paravertebral injections rather than one-sided multiple injections are likely to significantly increase the incidence of complications or failure [20] . In some studies, anesthetists preferred to insert a catheter into the paravertebral lumen, for the purpose of continuous blocking and prolonged postoperative analgesic [14,16,17] . However, regardless of continuous or single dose, only single-level blocking could not meet the requirement of PCNL procedure, which needed more intravenous sedatives and analgesics [16] .…”

Section: Discussionmentioning

confidence: 99%

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Usage of Multilevel Paravertebral Block as the Main Anesthesia for Mini-Invasive PCNL: Retrospective Review of 45 Cases with Large Stones

Yang

Yu²,

Hu³

et al. 2017

Urol Int

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Introduction: To evaluate the efficiency and safety of the paravertebral block (PVB) as the single main anesthesia for unilateral mini-invasive percutaneous nephrolithotomy (PCNL). Materials and Methods: Forty-five American Society of Anesthesiologists grade I/II/III patients with large upper urinary tract stones were included in our retrospective study. All patients received multilevel PVB from T10 to L1 with 10 mL of 0.5% ropivacaine for each segment. After the block was confirmed, unilateral mini-invasive PCNL was performed. Intraoperative and postoperative pain management and associated adverse events were observed to investigate the feasibility of PVB in mini-invasive PCNL as the main anesthesia. Results: Successful blocking was confirmed 20 min after paravertebral injections. The mean operation time was 59 min. None of the patients experienced severe pain or hemodynamic dysfunction. Stone-free rate was 93.1% and no blood transfusion was required. The mean time to first analgesic requirement was 160 min, and the mean consumption of diclofenac sodium suppositories was 150 mg. All patients contained normal muscle strength on the contralateral side. Patients could recover ambulation within 1 h after the operation. Conclusions: Multilevel PVB was proved to be suitable as the main anesthesia for unilateral mini-invasive PCNL, providing feasible pain relief and quick postoperative recovery.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Usage of Multilevel Paravertebral Block as the Main Anesthesia for Mini-Invasive PCNL: Retrospective Review of 45 Cases with Large Stones

Yang

Yu²,

Hu³

et al. 2017

Urol Int

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“…Intercostal block, paravertebral block, and peritubular infiltration are frequently used as regional anesthesia methods. For all 3 methods, lower pain scores or less opioid use was found in the literature compared to intravenous analge-sic drug applications [5][6][7].…”

Section: Introductionmentioning

confidence: 95%

Ultrasound-guided anterior quadratus lumborum block for postoperative pain after percutaneous nephrolithotomy: a randomized controlled trial

Ökmen

2020

Korean J Anesthesiol

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Background:The quadratus lumborum block (QLB), which is reported to provide analgesia to the abdominal region, is a newly defined fascial plane block method. The present study aimed to investigate the effect of ultrasound guided anterior QLB on the postoperative pain scores after percutaneous nephrolithotomy (PNL). Methods: In this prospective, randomized, controlled single-blind study, 60 patients with PNL operations were randomized into 2 groups. In Group B (n = 30): anterior QLB+ intravenous patient-controlled analgesia (PCA) morphine and in Group C (n = 30): intravenous PCA morphine. Outcome measures were included for visual analog scale (VAS) scores and cumulated consumption for 24 hours postoperatively. Adverse effects, additional analgesic requirement, and intraoperative opioid requirement were recorded. Results: The mean values of the quantity of cumulated morphine used at the 6th, 12th, and 24th hours were found to be statistically significantly lower in Group B (P < 0.05). The VAS scores were found to be statistically significantly lower in Group B (P < 0.05). There were no statistically significant differences in the rate of adverse effects, additional analgesic requirement, and intraoperative opioid requirement between the groups. Conclusions:The study results suggest that anterior QLB is an effective treatment option for postoperative analgesia of PNL.

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LSG Under Block Anesthesia (PVB)

Elfawal

Kanawati

Mohammed³

2021

Laparoscopic Sleeve Gastrectomy

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Analgesic Efficacy of Paravertebral Bupivacaine During Percutaneous Nephrolithotomy: An Observer Blinded, Randomized Controlled Trial

Abstract: Unilateral PVB block with catheter provided effective perioperative analgesia for PCNL.

Cited by 38 publications

References 19 publications

Usage of Multilevel Paravertebral Block as the Main Anesthesia for Mini-Invasive PCNL: Retrospective Review of 45 Cases with Large Stones

Usage of Multilevel Paravertebral Block as the Main Anesthesia for Mini-Invasive PCNL: Retrospective Review of 45 Cases with Large Stones

Ultrasound-guided anterior quadratus lumborum block for postoperative pain after percutaneous nephrolithotomy: a randomized controlled trial

LSG Under Block Anesthesia (PVB)

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