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Erector spinae plane block vs. Nonsteroidal anti-inflammatory drugs for severe renal colic pain: a pilot clinical feasibility study
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  • Muhammed Enes Aydin,
  • Erdal Tekin,
  • Elif Oral Ahiskalioglu,
  • Irem Ates,
  • Selahattin Karagoz,
  • Omerul Faruk Aydin,
  • Fatih Ozkaya,
  • Ali Ahiskalioglu
Muhammed Enes Aydin
Ataturk University
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Erdal Tekin
Ataturk University
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Elif Oral Ahiskalioglu
Ataturk University
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Irem Ates
Ataturk University
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Selahattin Karagoz
Ataturk University
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Omerul Faruk Aydin
Yeni Yuzyil Universitesi
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Fatih Ozkaya
Ataturk University
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Ali Ahiskalioglu
Ataturk University
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Abstract

Aim: Ultrasound-guided plane blocks are increasingly used in the multi-modal analgesic concept for reducing opioid consumption. The present study was conducted to compare the analgesic effect of intravenous nonsteroidal anti-inflammatory drugs (NSAIDs) and erector spinae plane (ESP) block in renal colic patients. Methods: In this prospective randomized study, 40 patients with renal colic pain were randomly assigned to into two groups; Group NSAID (n=20) received an intravenous infusion of 50 mg of dexketoprofen trometamol, Group ESP (n=20) received ultrasound-guided erector spinae plane block with 30 ml 0.25% bupivacaine at the T8 level. The pain severity of patients was assessed using the visual analog scale (VAS) at baseline, 5., 15., 30., 45. and 60. minutes after intervention. Opioid consumption, patient satisfaction and side effects were recorded. Results: In the ESP group, the VAS scores were significantly lower than the NSAID group at 5., 15., 30., 45. and 60. minutes after the procedure (P<0.001). Opioid consumption was significantly higher in the NSAID group compared with the ESP group (10/20 vs. 0/20, respectively; p<0.001). Patient satisfaction was significantly higher in the ESP group (p<0.001). Conclusions: ESP block can be an alternative, efficient, and safe method for the relief of acute renal colic pain.

Peer review status:UNDER REVIEW

11 Aug 2020Submitted to International Journal of Clinical Practice
12 Aug 2020Assigned to Editor
12 Aug 2020Submission Checks Completed
22 Sep 2020Reviewer(s) Assigned