Effect of Intercostal Nerve Block and Nephrostomy Tract Infiltration With Ropivacaine on Postoperative Pain Control After Tubeless Percutaneous Nephrolithotomy: A Prospective, Randomized, and Case-controlled Trial

Choi, Sae Woong; Cho, Shin Jay; Moon, Hyong Woo; Lee, Kyu Won; Lee, Sang Hoon; Hong, Sang Hyun; Choi, Yong Sun; Bae, Woong Jin; Ha, U-Syn; Hong, Sung‐Hoo; Lee, Ji Youl; Kim, Sae Woong; Cho, Hyuk Jin

doi:10.1016/j.urology.2017.12.004

Cited by 17 publications

(19 citation statements)

References 27 publications

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“…Pain levels were evaluated at 2, 4, 8, 12, 24, and 48 hours after surgery (while awake) by an Femoral and common peroneal nerve blocks were performed with ropivacaine Nerve blocks were performed with saline FIGURE 1 Flowchart for subject selection and group allocation investigator blinded to group allocation. If the VAS pain score at rest was greater than 4, the patients were given IV bolus doses of sufentanyl, adjusted for age 11,12 as follows: 5 μg (≤65 years) or 4 μg (>65 years). No other pain medications were used in the first 48 hours postoperatively for supplementation, but codeine and ibuprofen were offered after the initial 48-hour postoperative period.…”

Section: Pain Assessmentsmentioning

confidence: 99%

Efficacy and safety of lower extremity nerve blocks for postoperative analgesia at free fibular flap donor sites

et al. 2018

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Background We evaluated the utility of combined femoral and common peroneal nerve blocks in patients undergoing free fibular flap‐based oromandibular reconstruction. Methods Forty patients undergoing reconstructive surgeries with free fibular flaps were randomly divided into nerve block and control groups (NB and C). In group NB, both femoral and common peroneal nerve blocks with 0.33% ropivacaine were used. In group C, sham blocks were performed with saline. The primary outcomes were sufentanyl consumption during the 0‐ to 24‐hour and 24‐to 48‐hour intervals and cumulative consumption during the 48‐hour postoperative period. Results Sufentanyl consumption for the 0‐to 24‐hour interval and cumulative sufentanyl consumption were significantly lower in group NB than in group C. Moreover, more patients in group NB than in group C were satisfied with the pain management. Conclusion Lower extremity nerve blocks reduce sufentanyl use and improve patient satisfaction when used for postoperative analgesia at the free fibular flap donor site.

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Section: Pain Assessmentsmentioning

confidence: 99%

Efficacy and safety of lower extremity nerve blocks for postoperative analgesia at free fibular flap donor sites

et al. 2018

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“…However, the efficacy of these blocks for analgesia has not been established yet. [ 1 ] Erector spinae plane block (ESPB) reportedly provides effective analgesia after thoracic and abdominal surgery. [ 2 3 ] We describe a patient in whom continuous ESPB was used to provide highly effective analgesia after PCNL.…”

mentioning

confidence: 99%

The Erector Spinae Plane Block for Postoperative Analgesia after Percutaneous Nephrolithotomy

Kim

Kwon

et al. 2018

Chinese Medical Journal

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“…A total of 423 unique records were examined. Eight full-texts were reviewed and a total of six studies included in the systematic review and meta-analysis (7,13,(18)(19)(20)(21). Details of the included studies are presented in Table 1.…”

Section: Resultsmentioning

confidence: 99%

“…Details of the included studies are presented in Table 1. Five were randomized controlled trials (RCTs) (7,(18)(19)(20)(21) while one was a prospective nonrandomized study (13). The sample size of studies varied from 26-50 patients per arm.…”

Section: Resultsmentioning

confidence: 99%

Efficacy of Intercostal Nerve Block for Pain Control After Percutaneous Nephrolithotomy: A Systematic Review and Meta-Analysis

Chen

Zhu

2021

Front. Surg.

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Background: We aimed to assess the efficacy of intercostal nerve block (ICNB) for pain relief after percutaneous nephrolithotomy (PCNL).Methods: An electronic search of the databases of PubMed, Science Direct, BioMed Central, CENTRAL, Embase, and Google Scholar was conducted. All types of studies conducted on adult patients undergoing PCNL, comparing ICNB with control or any other anesthetic method, and reporting postoperative pain outcomes were included.Results: Six studies were included. Studies compared ICNB with peritubal (PT) infiltration and with control. Pooled analysis of ICNB vs. PT infiltration indicated no difference between the two groups for pain scores at 6–8 h (MD −0.44; 95% CI −3.41, 2.53; I2 = 99%; p = 0.77), 12 h (MD −0.98; 95% CI −4.90, 2.94; I2 = 99%; p = 0.62) and 24 h (MD 0.16; 95% CI −0.90, 1.21; I2 = 88%; p = 0.77). Time for first analgesic demand was also not significantly different between the two groups. Meta-analysis of ICNB vs. control indicated statistical significant difference in pain scores between the two groups at 8 h (MD −1.55; 95% CI −2.60, −0.50; I2 = 47%; p = 0.04), 12 h (SMD −2.49; 95% CI −4.84, −0.13; I2 = 96%; p = 0.04) and 24 h (SMD −1.22; 95% CI −2.12, −0.32; I2 = 88%; p = 0.008). The total analgesic requirement in morphine equivalents was not significantly different between the two groups.Conclusions: ICNB may be effective in reducing postoperative pain after PCNL. However, its efficacy may not be greater than PT infiltration. Current evidence is from a limited number of studies. Further, high-quality randomized controlled trials are needed to provide robust evidence.

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Effect of Intercostal Nerve Block and Nephrostomy Tract Infiltration With Ropivacaine on Postoperative Pain Control After Tubeless Percutaneous Nephrolithotomy: A Prospective, Randomized, and Case-controlled Trial

Cited by 17 publications

References 27 publications

Efficacy and safety of lower extremity nerve blocks for postoperative analgesia at free fibular flap donor sites

Efficacy and safety of lower extremity nerve blocks for postoperative analgesia at free fibular flap donor sites

The Erector Spinae Plane Block for Postoperative Analgesia after Percutaneous Nephrolithotomy

Efficacy of Intercostal Nerve Block for Pain Control After Percutaneous Nephrolithotomy: A Systematic Review and Meta-Analysis

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