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Original Article

NMJ. 2022; 11(1): 8-12


USG guided paravertebral block vs peritubal infiltration with 15 ml of 0.25 % bupivacaine for post-operative analgesia in patients undergoing percutaneous nephrolithotomy

S Ramya, R Prabhavathi, Kandukuru Krishna Chaithanya, Devaram Vijetha, Shiny Priyadarshini, Gundlakunta Swathi.




Abstract

Abstract
Objective: To compare postoperative analgesic efficacy between USG guided paravertebral block and peritubal infiltration with 15 ml of 0.25 % bupivacaine in patients undergoing percutaneous nephrolithotomy
Materials and Methods: A prospective, randomized double blind study was conducted in 60 patients undergoing PCNL. Patients were randomly allocated into two equal groups of 30 each. Group P(30) received thoracic paravertebral block (T9-T10, T10-T11, T11-T12) with 15 ml of 0.25% Bupivacaine. (3ml at each level). Group T(30) received peritubal infiltration with 15 ml of 0.25% Bupivacaine.
Results: Age, ASA grading, and duration of surgery, calculi position and size, access tract and success rate were comparable between the two groups. VAS scores at 0, 2, 4, and 8 hrs were found to be significantly lower in group P than Group T [P value

Key words: Paravertebral block, Peritubal infiltration , Bupivacaine, post-operative analgesia.






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