Effectiveness of erector spinae plane block in patients with percutaneous nephrolithotomy


Nigerian Journal of Clinical Practice, vol.25, no.2, pp.192-196, 2022 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 25 Issue: 2
  • Publication Date: 2022
  • Doi Number: 10.4103/njcp.njcp_462_20
  • Journal Name: Nigerian Journal of Clinical Practice
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
  • Page Numbers: pp.192-196
  • Keywords: Erector spinae plane block, percutaneous nephrolithotomy, postoperative analgesia, ultrasound, verbal analogue scale, OPIOID CONSUMPTION
  • Kayseri University Affiliated: No


© 2022 Wolters Kluwer Medknow Publications. All rights reserved.Background: Percutaneous nephrolithotomy operation is a minimally invasive surgical procedure for the treatment of kidney stones. Aim: This study aimed to evaluate the effectiveness of ultrasound-guided erector spinae plane block (ESPB) on analgesic consumption in patients who underwent percutaneous nephrolithotomy. Subjects and Methods: The data of 60 cases who underwent percutaneous nephrolithotomy operation between 01.01.2020 January and 12.01.2020 were retrospectively analyzed. Hemodynamic parameters, verbal analogue scale adjectives, total morphine consumption, additional analgesic and antiemetic need, duration of hospitalization, and patient satisfaction score were compared in patients who had ESPB and did not have block. Results: Demographic data and hemodynamic parameters were similar between the two groups. Verbal rating scale values were lower for Group I at 2, 6, 12, and 24 h (P < 0.05). Patient satisfaction score was significantly higher in Group I over 24 h (P = 0.039). Total morphine consumption at postoperative 2 nd, 6 th, and 24 th h was less than that of Group II (P < 0.05). Analgesia consumption in postoperative 24 h of group I was less than that of Group II (P = 0.001). The amount of fentanyl given intraoperatively was significantly higher in Group II (P = 0.001). Nausea and vomiting rates were significantly lower for Group I (P = 0.002). Conclusion: Ultrasound-guided ESPB reduced postoperative morphine consumption and the rate of nausea and vomiting.