• S S Pehlivan, O O Gergin, N Baydilli, A Ulgey, I Erkan, and A Bayram.
• Department of Anaesthesiology and Reanimation, Erciyes University, Medical Faculty, Kayseri, Turkey.
• Niger J Clin Pract. 2022 Feb 1; 25 (2): 192-196.

BackgroundPercutaneous nephrolithotomy operation is a minimally invasive surgical procedure for the treatment of kidney stones.AimThis study aimed to evaluate the effectiveness of ultrasound-guided erector spinae plane block (ESPB) on analgesic consumption in patients who underwent percutaneous nephrolithotomy.Subjects And MethodsThe data of 60 cases who underwent percutaneous nephrolithotomy operation between 01.01.2020 January and 12.01.2020 were retrospectively analyzed. Hemodynamic parameters, verbal analogue scale adjectives, total morphine consumption, additional analgesic and antiemetic need, duration of hospitalization, and patient satisfaction score were compared in patients who had ESPB and did not have block.ResultsDemographic data and hemodynamic parameters were similar between the two groups. Verbal rating scale values were lower for Group I at 2, 6, 12, and 24 h (P < 0.05). Patient satisfaction score was significantly higher in Group I over 24 h (P = 0.039). Total morphine consumption at postoperative 2nd, 6th, and 24th h was less than that of Group II (P < 0.05). Analgesia consumption in postoperative 24 h of group I was less than that of Group II (P = 0.001). The amount of fentanyl given intraoperatively was significantly higher in Group II (P = 0.001). Nausea and vomiting rates were significantly lower for Group I (P = 0.002).ConclusionUltrasound-guided ESPB reduced postoperative morphine consumption and the rate of nausea and vomiting.

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