Erector spinae plane block versus thoracic paravertebral block in pediatric patients undergoing percutaneous nephrolithotomy: a prospective randomized clinical trial

Key Points

• To compare the effectiveness of erector spinae plane block (ESPB) and thoracic paravertebral block (PVB) for postoperative pain management in children undergoing percutaneous nephrolithotomy (PCNL).
• Conducted a prospective randomized clinical trial on pediatric patients undergoing PCNL.
• Compared postoperative pain levels between those receiving ESPB and those receiving thoracic PVB.
• Measured intraoperative hemodynamic stability and sevoflurane concentration.
• There was no significant difference in postoperative pain management between ESPB and thoracic PVB.
• Hemodynamics and maximum sevoflurane concentration were similar in both groups.
• ESPB was performed in less time than thoracic PVB, indicating it could be a simpler alternative.