A comparison between ultrasound guided erector spinae block using bupivacaine versus bupivacaine & dexmedetomidine for postoperative analgesia in patients undergoing percutaneous nephrolithotomy : A randomized controlled double-blinded study /
مقارنه بين تخدير العضلات الناصبة للعمود الفقرى عن طريق جهاز الموجات فوق الصوتية باستخدام عقار البيوبيفاكين وحده مقارنه استخدام عقار البيوبيفاكين مع عقار الديكسميدايتوميدين لتسكين الألم بعد الجراحة فى المرضى اللذين يخضعون لعمليه استئصال حصوات الكلى عن طريق الجلد : دراسه عشوائية مقارنه مزدوجة التعمية
Ahmed Abdelaty Hamed Ellhwany ; Supervised Manar Mahmoud Elkholy , Haitham Ahmed Abouzeid Ali , Yahya Mohamed Ahmed Hammad
- Cairo : Ahmed Abdelaty Hamed Ellhwany , 2021
- 71 P. : charts , facsimiles ; 25cm
Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Anaesthesia
Background: Percutaneous nephrolithotomy (PCNL) is getting very popular for treatment of large renal stones and is considered now to be the first line of treatment. The Erector Spinae block (ESB) is a regional anesthetic technique that is effective in providing extensive somatic and visceral analgesia. Adding dexmedetomidine to the local anesthetic, increases duration of sensory and motor block, and reduces postoperative pain. Objective: Investigating the efficacy of adding dexmedetomidine as an adjuvant to local anesthetic in Erector Spinae Block (ESB) on postoperative pain in patients undergoing Percutaneous nephrolithotomy.Patient and methods: Ultrasound Guided Erector Spinae were done on 50 patients divided equally into two groups 25 each, Groups [A] were received Bupivacaine only and group [B] which received Bupivacaine with the addition of dexmedetomidine). Postoperative 24-hour morphine consumption, intraoperative fentanyl consumption, intraoperative hemodynamics, side effects (Nausea, vomiting, bleeding, and organ injury) were recorded.Results: post-operative morphine consumption(mg/kg) showed statistically significant decrease at Group B than Group A.the median values of morphine consumption were (0.033 versus 0.051) for Group B versus Group A respectively (p+0.001)