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Ultrasound-Guided Intercostal Nerve Block for Postoperative Pain Relief in Percutaneous Nephrolitotomy

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ClinicalTrials.gov Identifier: NCT01549405
Recruitment Status : Completed
First Posted : March 9, 2012
Results First Posted : April 2, 2013
Last Update Posted : April 2, 2013
Sponsor:
Information provided by (Responsible Party):
derya özkan, Diskapi Teaching and Research Hospital

Brief Summary:
Percutaneous nephrolitotomy (PCNL)is an endourological procedure for the management of patients with renal calculi. Postoperative pain around the surgical area and the nephrostomy tube can being a problem. We hypothesized that intercostal nerve block at 11th and 12th rib level would alleviate postoperative pain and reduce analgesic consumption.

Condition or disease Intervention/treatment
Nerve Block, Intercostal Nerve Other: İntercostal nerve block

Detailed Description:
Patients admitted for the removal of renal stones by PCNL will included in this study.Primary outcome measure will be analgesic (tramadol )consumption and visual analog scale (VAS).

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 40 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Study Start Date : February 2012
Primary Completion Date : August 2012
Study Completion Date : August 2012

Arm Intervention/treatment
No Intervention: Control group
Control group: Group that without intercostal nerve block
Experimental: nerve block
Group that performing intercostal block
Other: İntercostal nerve block
Nerve block group was administered two levels intercostal block (11 and 12th ribs) with 0.5% bupivacaine with epinephrine before surgery.



Primary Outcome Measures :
  1. Postoperative Analgesic (Tramadol) Consumption [ Time Frame: Postoperative 24th hour ]
    Total consumption of tramadol will be measured for the first 24 hours.

  2. Total Consumption of Tramadol Will be Measured for the First 24 Hours [ Time Frame: Postoperative 24th hour ]

Secondary Outcome Measures :
  1. Postoperative Pain Will be Evaluated. [ Time Frame: 24 hours ]
    The pain score (VAS)(visual analog scale) will be evaluated for the first 24 hours.("0" no pain, to "10", the maximum pain )Pain score less then 4 is acceptable.



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Ages Eligible for Study:   18 Years to 65 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients admitted for the removal of renal stones by percutaneous
  • nephrolithotomy (PCNL)
  • ASA I-II status

Exclusion Criteria:

  • Respiratory or cardiac disfunction
  • Neuropathy
  • Coagulopathy
  • BMI (Body mass index)over 30

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01549405


Locations
Turkey
Derya Özkan
Ankara, Turkey, 06110
Sponsors and Collaborators
Diskapi Teaching and Research Hospital
Investigators
Study Director: Derya Özkan, MD Ministry of health Diskapi Yıldirim Beyazit Training and Research Hospital 1. Anesthesiology Clinic
Principal Investigator: Taylan Akkaya, MD Ministry of health Diskapi Yıldirim Beyazit Training and Research Hospital 1. Anesthesiology Clinic
Study Chair: Emine Arık, MD Ministry of health Diskapi Yıldirim Beyazit Training and Research Hospital 1. Anesthesiology Clinic
Study Chair: Zeynep Koç, MD Ministry of health Diskapi Yıldirim Beyazit Training and Research Hospital 1. Anesthesiology Clinic
Study Chair: Nihat Karakoyunlu, MD Ministry of health Diskapi Yıldirim Beyazit Training and Research Hospital 3. Urology Clinic
Study Chair: Haluk Gümüs, MD 1Ministry of health Diskapi Yıldirim Beyazit Training and Research Hospital 1. Anesthesiology Clinic
Study Chair: Hamit Ersoy, MD Ministry of health Diskapi Yıldirim Beyazit Training and Research Hospital 3. Urology Clinic
Study Chair: Julide Ergil, MD Ministry of health Diskapi Yıldirim Beyazit Training and Research Hospital 1. Anesthesiology Clinic

Responsible Party: derya özkan, Consultant of Anesthesiology ,MD, Diskapi Teaching and Research Hospital
ClinicalTrials.gov Identifier: NCT01549405     History of Changes
Other Study ID Numbers: Diskapi
First Posted: March 9, 2012    Key Record Dates
Results First Posted: April 2, 2013
Last Update Posted: April 2, 2013
Last Verified: April 2013

Keywords provided by derya özkan, Diskapi Teaching and Research Hospital:
percutanous nephrolitotomy,intercostal nerve block, Ultrasound