Open Access

HOW I DO IT

How I Do It: ERAS protocol featuring erector spinae plane block for percutaneous nephrolithotomy

Bertie Zhang¹, Arinze J. Ochuba², Gregory R. Mullen³, Arun Rai³, Tareq Aro³, David M. Hoenig³, Zeph Okeke³, Jared S. Winoker^1,3

1 The Smith Institute for Urology at Lenox Hill, Zucker School of Medicine at Hofstra/Northwell Health, New York, New York, USA
2 Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
3 The Smith Institute for Urology, Zucker School of Medicine at Hofstra/Northwell Health, New Hyde Park, New York, USA
Address correspondence to Dr. Bertie Zhang, The Smith Institute for Urology at Lenox Hill, 130 East 77th Street, Black Hall, 5th Floor, New York, NY 10075 USA

Canadian Journal of Urology 2023, 30(4), 11639-11643.

Abstract

Percutaneous nephrolithotomy (PCNL) is the gold-standard treatment for large and complex renal stones. Though associated with higher stone-free rates compared to other minimally invasive stone procedures, this comes at the expense of increased morbidity including postoperative pain and discomfort. We describe our enhanced recovery after surgery (ERAS) protocol for PCNL with emphasis on the use of erector spinae plane blocks to improve patient satisfaction and reduce postoperative opioid use and bother.

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