Analgesic Effect of Erector Spinae Plane Block for Renal Colic Pain


Plane blocks have become very popular in recent years with the introduction of ultrasonography into the regional anesthesia and algology practice. Erector spinae plane (ESP) block involves the injection of local anesthetics between erector spinae muscles and transverse process of vertebrae and can block the dorsal and ventral rami of thoracolumbar spinal nerves.

The aim of this study was to evaluate the analgesic efficacy of the erector spine plane block for reno-ureteral colic.

Full Title of Study: “Erector Spinae Plane Block Versus Intravenous Dexketoprofen-trometamol for Treatment of Reno-ureteral Colic: a Randomized Prospective Study”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Parallel Assignment
    • Primary Purpose: Treatment
    • Masking: Double (Investigator, Outcomes Assessor)
  • Study Primary Completion Date: January 1, 2020


  • Drug: 30 ml %0.25 bupivacaine
    • Ultrasound-guided erector spinae plane block
  • Drug: Dexketoprofen-trometamol
    • 50 mg Dexketoprofen-trometamol intravenous

Arms, Groups and Cohorts

  • Active Comparator: ultrasound guided erector spinae plane block
    • 30 ml %0.25 ultrasound-guided erector spinae plane block at the level of T8
  • Active Comparator: Dexketoprofen-trometamol
    • intravenous 50 mg dexketoprofen-trometamol

Clinical Trial Outcome Measures

Primary Measures

  • Number of analgesic consumption
    • Time Frame: 1 hour
    • Fentanyl

Secondary Measures

  • Numeric Rating Scale
    • Time Frame: 1 hour
    • A NRS involves asking the patient to rate his or her pain from 0 to 10 (11 point scale) with the understanding that 0 is equal to no pain and 10 is equal to worst possible pain. NRS score will be recorded after intervention at 5.,10.,15.,30.,45. and 60. minute

Participating in This Clinical Trial

Inclusion Criteria

  • American Society of Anesthesiologist's physiologic state I-II patients

Exclusion Criteria

  • chronic pain
  • bleeding disorders
  • renal or hepatic insufficiency
  • patients on chronic non-steroidal anti-inflammatory medications

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: 65 Years

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Ataturk University
  • Provider of Information About this Clinical Study
    • Principal Investigator: Ali Ahiskalioglu, Principal Investigator – Ataturk University


Aydin ME, Ahiskalioglu A, Tekin E, Ozkaya F, Ahiskalioglu EO, Bayramoglu A. Relief of refractory renal colic in emergency department: A novel indication for ultrasound guided erector spinae plane block. Am J Emerg Med. 2019 Apr;37(4):794.e1-794.e3. doi: 10.1016/j.ajem.2018.12.042. Epub 2018 Dec 23.

Yayik AM, Ahiskalioglu A, Alici HA, Celik EC, Cesur S, Ahiskalioglu EO, Demirdogen SO, Karaca O, Adanur S. Less painful ESWL with ultrasound-guided quadratus lumborum block: a prospective randomized controlled study. Scand J Urol. 2019 Dec;53(6):411-416. doi: 10.1080/21681805.2019.1658636. Epub 2019 Sep 9.

Forero M, Adhikary SD, Lopez H, Tsui C, Chin KJ. The Erector Spinae Plane Block: A Novel Analgesic Technique in Thoracic Neuropathic Pain. Reg Anesth Pain Med. 2016 Sep-Oct;41(5):621-7. doi: 10.1097/AAP.0000000000000451.

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