Comparison of Erector Spinae Plane (ESP) Block and Thoracolumbar Interfascial Plane(TLIP) Block for the Management of Postoperative Pain in Spinal Surgery
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 40
- 试验地点
- 2
- 主要终点
- pruritus
研究概览
简要总结
Lumbar vertebra surgery is one of the most common surgical procedures. After lumbar veretebra surgery, patients complain of excessive pain. Postoperative pain usually occurs in the early postoperative period and delays patient mobilization and thus lengthens hospital stay.
The aim of this study was to compare the efficacy of erector spina plan(ESP) block and thoraco lumbar interfacial(TLIP) block on postoperative pain in patients with spinal surgery.
详细描述
Plan blocks are used as a good and safe option for multimodal analgesia techniques in postoperative pain control in spinal surgery.
The ESP block was first described in 2016 for the treatment of thoracic neuropathic pain.
In the following process; ESP block has been reported to provide effective postoperative analgesia in thoracic and breast surgery, bariatric surgery and upper abdominal surgery.
Finally, ESP block has been reported to provide effective postoperative analgesia in veretebra surgeries.
The mechanism of ESP analgesic action has been demonstrated in cadaver studies where injected local anesthetics are caused by diffusion of the spinal nerves into the ventral and dorsal ramycin by spreading in the cranial and caudal directions.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •68 patients
- •ASA I-III,
- •Aged 18-75 years
- •underwent lumbar spine surgery under elective conditions
排除标准
- •Presence of contraindications to LA agents used in this study
- •Use of chronic opioids,
- •Psychiatric disorders.
- •The presence of infection at the injection area.
结局指标
主要结局
pruritus
时间窗: [Time Frame: 24 hours]
each criterion is reported as present or absent each criterion is reported as present or absent
mobilized
时间窗: [Time Frame: 7 days]
each criterion is reported as when the patient is mobilized
nausea and vomiting
时间窗: [Time Frame: 24 hours]
each criterion is reported as present or absent each criterion is reported as present or absent
NRS(numerical rating scala)
时间窗: [Time Frame: 24 hours]
Each item is scored 0-10 ( 0=no pain, 10= pain as bad as can be) Postoperative pain intensity reported with NRS score : 30. minute, 1. hours, 6. hours, 12. hours, 24. hours
discharged
时间窗: [Time Frame: 7 days]
each criterion is reported as when the patient is discharged
use of antiemetics
时间窗: [Time Frame: 24 hours]
each criterion is reported as present or absent each criterion is reported as present or absent
次要结局
未报告次要终点
研究者
SINEM SARI
M.D., clinical research
Aydin Adnan Menderes University