Effects of Ultrasound-Guided Thoracic Paravertebral Block on Postoperative Pain in Children Undergoing Percutaneous Nephrolithotomy

İngilizce (OpenAlex)

Objective: To compare the effects of ultrasound-guided thoracic paravertebral block (PVB) and intravenous paracetamol on postoperative pain control in paediatric patients undergoing percutaneous nephrolithotomy (PNL).Methods: Forty patients aged 1-5 years, with an American Society of Anesthesiologists physical status I-II, scheduled for PNL were enrolled into this prospective randomised controlled trial.After arrival in the operating room, all patients were administered standardised general anaesthesia.Patients in Group PVB received ultrasound-guided PVB using bupivacaine 0.5% at a total volume of 0.5 mL kg -1 at the vertebral levels T11, T12 and L1.Patients in Group P were administered paracetamol intravenously (15 mg kg -1 ) before the beginning of surgery.Patients in both groups were given tramadol (1 mg kg -1 ) for supplemental analgesia.Patient demographics, haemodynamic parameters, peripheral oxygen saturation and sevoflurane concentration were recorded.The Face, Legs, Activity, Cry and Consolability pain scores; satisfaction of parents; the number of patients requiring supplemental analgesia; and complications were evaluated during the postoperative period.Results: Pain scores were significantly lower in Group PVB compared with Group P (p=0.001).There were no analgesic requirements in Group PVB; however, all patients needed a supplemental analgesic in Group P. Parental satisfaction was higher in Group PVB than in Group P. Conclusion:This study demonstrated that ultrasound-guided PVB provides more effective postoperative analgesia with no side effects compared to intravenous paracetamol in children undergoing PNL.