Evidence map›Paper›PMID 41799236›Full record

ArticleIndian journal of anaesthesia2026

Analgesic efficacy of triple-level erector spinae plane block versus triple-level costotransverse foramen block in patients undergoing percutaneous nephrolithotomy surgery: A randomised non-inferiority trial.

Niharika Das, Virender K Mohan, Debesh Bhoi, Lokesh Kashyap, Vanlal M Darlong

Abstract read
In one paragraph

Article in Indian journal of anaesthesia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Niharika DasDepartment of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.ORCID https://orcid.org/0009-0006-6096-871X
Virender K MohanDepartment of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.ORCID https://orcid.org/0000-0002-9359-0016
Debesh BhoiDepartment of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.ORCID https://orcid.org/0000-0003-2047-3115
Lokesh KashyapDepartment of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.ORCID https://orcid.org/0000-0002-5281-9857
Vanlal M DarlongDepartment of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.ORCID https://orcid.org/0000-0001-9209-5673

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Percutaneous nephrolithotomy (PCNL), although minimally invasive, causes moderate to severe pain after surgery. In regional anaesthesia techniques, such as the erector spinae plane block (ESPB) and costotransverse foramen block (CTFB), local anaesthetic reaches the paravertebral space, focussing on the dorsal rami and intercostal nerves. The aim of this study was to assess the postoperative analgesic efficacy of triple level ultrasound guided ESPB versus triple level ultrasound guided CTFB in patients undergoing PCNL surgery under general anaesthesia. In this study, three injections of study drug at three consecutive levels (triple-level) were given, anticipating adequate craniocaudal spread. Methods: In this randomised, double-blind, parallel group trial, 50 adults set to undergo PCNL with general anaesthesia were randomised to two groups: Group I (ESPB, Results: The median cumulative morphine use over 24 hours was 7 mg in both groups {ESPB: interquartile range (IQR) 4-11.75 mg; CTFB: IQR 3-11 mg} ( Conclusion: Postoperative analgesia provided by triple level ESPB was not inferior to triple level CTFB and thus can be used as an effective analgesic technique for PCNL surgeries.

Indexed as

Analgesiacostotransverse foramen blockerector spinae plane blocknephrolithotomypainpercutaneouspostoperativeropivacaineultrasonography

Identifiers

PMID41799236
PMCPMC12965423

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.