Comparison of the Effectiveness of Classical and Modified Erector Spinae Plane Blocks in Postoperative Analgesia Management Following Lumbar Spinal Surgery: A Prospective Study
概览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- Samsun University
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Opioid consumption
概览
简要总结
The investigators aim to compare the postoperative analgesic efficacy of the classical erector spinae plane block and the modified erector spinae plane block in the management of postoperative analgesia after lumbar disc surgery.
详细描述
Lumbar spinal stenosis may lead to variable signs and symptoms such as low back pain, radiating pain to the lower extremities, and reduced walking capacity. Lumbar disc surgery itself causes significant pain due to extensive dissection and muscle retraction during the procedure. A multimodal analgesic approach is preferred for postoperative pain management after lumbar spine surgery. The addition of regional anesthesia techniques reduces opioid-related side effects and is associated with earlier mobilization, shorter hospital stay, and improved patient satisfaction.
In patients undergoing lumbar disc surgery, the classical erector spinae plane block and the modified erector spinae plane block provide effective analgesia for postoperative pain control.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Double (Care Provider, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients aged 18-70 years,
- •Classified as ASA physical status I-III,
- •Scheduled to undergo single-level lumbar spinal surgery under general anesthesia
- •Who agree to participate in the study by providing written informed consent
排除标准
- •History of bleeding diathesis or current anticoagulant therapy
- •Known allergy or hypersensitivity to local anesthetics or opioid medications
- •Infection at the planned block injection site
- •Previous lumbar spine surgery
- •History of gabapentinoid or corticosteroid use within the last 3 weeks
- •Inability to use a patient-controlled analgesia (PCA) device
- •Suspected pregnancy, confirmed pregnancy, or breastfeeding Refusal to undergo the procedure or to participate in the study
研究组 & 干预措施
Active Comparator: Group K-ESP
The erector spinae plane block will be performed 30 minutes before lumbar spine surgery.
干预措施: The Classical Erector Spinae Plane Block (Other)
Active Comparator: Group M-ESP
The modified erector spinae plane block will be performed 30 minutes before lumbar spine surgery.
干预措施: Modified Erector Spinae Plane Blocks (Other)
结局指标
主要结局
Opioid consumption
时间窗: 24 hours
In the postoperative period, patients will be given opioids according to their pain density with a patient-controlled device, and the daily Morphine consumption in Patient Controlled Analgesia device will be collected and compared between groups.
次要结局
- Perioperative pain intensity(24 hours)
- Quality of recovery 15 scale(24 hours after surgery)
- Postoperative nausea and vomiting(24 hours)