{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T01:09:36Z","timestamp":1792026576356,"version":"4.4.0"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,12]]},"abstract":"\n Background and Aims:<\/jats:title>\n Paravertebral block (PVB) is the regional anaesthesia of choice for percutaneous nephrolithotomy (PCNL). Erector spinae plane block (ESPB) is also effective for the same. This study aims to compare the analgesic efficacy and ease of performing PVB or ESPB for PCNL surgery.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n \n This study was conducted in 60 patients undergoing PCNL, who were randomised to Group P (\n n<\/jats:italic>\n = 30; received ultrasound-guided [USG] PVB) and Group E (\n n<\/jats:italic>\n = 30; received USG ESPB) after general anaesthesia. Blocks were administered at T10 level on the side of the surgery using 20 ml of 0.25% bupivacaine. The trachea was extubated at the end of surgery. The primary outcome was analgesia duration, and secondary outcomes were postoperative pain scores, analgesic consumption, ease of block performance, time taken to perform the block and complications between the two groups. Continuous variables were compared using an independent sample\n t<\/jats:italic>\n -test, and categorical variables were analysed using Pearson\u2019s Chi-square test.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Demographic variables were comparable in both groups. The mean (standard deviation [SD]) time of first rescue analgesia in Group P and Group E were 16.6 (20.4)(95% confidence interval [CI]: 9.02\u201320.32) h and 16.3 (21.8) (95% CI: 8.17\u201324.51) h, respectively (\n P<\/jats:italic>\n = 0.95). The postoperative pain scores and number of doses of analgesics used were comparable between the groups (\n P<\/jats:italic>\n > 0.05). The time taken to perform PVB was much longer compared to the time taken to perform ESPB (\n P<\/jats:italic>\n = 0.01).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n USG PVB and ESPB were equally effective for postoperative analgesia for PCNL surgery.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ija.ija_355_23","type":"journal-article","created":{"date-parts":[[2023,12,15]],"date-time":"2023-12-15T09:01:39Z","timestamp":1702630899000},"page":"1110-1115","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":9,"title":["Comparison of ultrasound-guided paravertebral block versus erector spinae plane block for postoperative analgesia after percutaneous nephrolithotomy \u2013 A randomised, double-blind, controlled study"],"prefix":"10.4103","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-6665-2721","authenticated-orcid":false,"given":"Prajna Pandit","family":"Khot","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, SDMCMS and H, Dharwad, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4947-3848","authenticated-orcid":false,"given":"Sameer N.","family":"Desai","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, SDMCMS and H, Dharwad, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sushmitha P.","family":"Bale","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, SDMCMS and H, Dharwad, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4403-8567","authenticated-orcid":false,"given":"Bhuvanesh N.","family":"Aradhya","sequence":"additional","affiliation":[{"name":"Department of Urology, SDMCMS and H, Dharwad, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,12,13]]},"reference":[{"key":"R1-20260508","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1007\/s00101-019-00673-w","article-title":"Analgesic efficacy of erector spinae plane block in percutaneous nephrolithotomy: A randomized controlled trial","volume":"68","author":"Ibrahim","year":"2019","journal-title":"Anaesthesist"},{"key":"R2-20260508","doi-asserted-by":"crossref","first-page":"8366","DOI":"10.1038\/s41598-022-12623-5","article-title":"Risk factors for moderate-to-severe postoperative pain after percutaneous nephrolithotomy: A retrospective cohort study","volume":"12","author":"Wu","year":"2022","journal-title":"Sci Rep"},{"key":"R3-20260508","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1007\/s00240-018-01106-w","article-title":"Ultrasound-guided low thoracic paravertebral block versus peritubal infiltration for percutaneous nephrolithotomy: A prospective randomized study","volume":"48","author":"Yayik","year":"2020","journal-title":"Urolithiasis"},{"key":"R4-20260508","doi-asserted-by":"crossref","first-page":"398","DOI":"10.4103\/ija.IJA_1450_20","article-title":"Comparison of erector spinae plane block and local anaesthetic infiltration of the incision site for postoperative analgesia in percutaneous nephrolithotomy - 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A prospective randomised trial","volume":"63","author":"El Ghamry","year":"2019","journal-title":"Indian J Anaesth"},{"key":"R12-20260508","doi-asserted-by":"crossref","first-page":"1085","DOI":"10.1089\/end.2014.0179","article-title":"Analgesic efficacy of paravertebral bupivacaine during percutaneous nephrolithotomy: An observer blinded, randomised controlled trial","volume":"28","author":"Borle","year":"2014","journal-title":"JEndourol"},{"key":"R13-20260508","first-page":"417","article-title":"Thoracic paravertebral block versus epidural anesthesia combined with moderate sedation for percutaneous nephrolithotomy","volume":"25","author":"Li","year":"2016","journal-title":"MedPrincPract"},{"key":"R14-20260508","first-page":"13","article-title":"Evaluation of the efficacy of bupivacaine (0.5%) alone or with clonidine (1\u03bcg\/kg) versus control in a single level paravertebral block in patients undergoing PCNL procedure","volume":"10","author":"Kamble","year":"2016","journal-title":"J Clin Diagn Res"},{"key":"R15-20260508","doi-asserted-by":"crossref","first-page":"1877","DOI":"10.4103\/0366-6999.237408","article-title":"The erector spinae plane block for postoperative analgesia after percutaneous nephrolithotomy","volume":"131","author":"Kim","year":"2018","journal-title":"Chin Med J (Engl)"},{"key":"R16-20260508","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1111\/anae.14579","article-title":"The effect of erector spinae plane block on respiratory and analgesic outcomes in multiple rib fractures: A retrospective cohort study","volume":"74","author":"Adhikary","year":"2019","journal-title":"Anaesthesia"},{"key":"R17-20260508","doi-asserted-by":"crossref","first-page":"942","DOI":"10.1053\/j.jvca.2014.11.006","article-title":"A French nationwide survey on anesthesiologist-perceived barriers to the use of epidural and paravertebral block in thoracic surgery","volume":"29","author":"Dual\u00e9","year":"2015","journal-title":"J CardiothoracVasc Anesth"},{"key":"R18-20260508","doi-asserted-by":"crossref","first-page":"49","DOI":"10.4103\/ija.IJA_536_19","article-title":"Erector spinae versus paravertebral plane blocks in modified radical mastectomy: Randomised comparative study of the technique success rate among novice anaesthesiologists","volume":"64","author":"Moustafa","year":"2020","journal-title":"Indian J Anaesth"},{"key":"R19-20260508","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1186\/s12871-020-0929-x","article-title":"A prospective, randomized comparison of ultrasonographic vizualisation of proximal intercostal block vs. paravertebral block","volume":"20","author":"Vlassakov","year":"2020","journal-title":"BMC Anesthesiol"}],"container-title":["Indian Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ija.ija_355_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:54:08Z","timestamp":1787763248000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ija.ija_355_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12]]},"references-count":19,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/ija.ija_355_23","relation":{},"ISSN":["0019-5049","0976-2817"],"issn-type":[{"value":"0019-5049","type":"print"},{"value":"0976-2817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12]]},"assertion":[{"value":"2023-04-20","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-01","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}