Postoperative Outcomes of Regional Blocks Performed in Cervical Disc Surgery: A Prospective Observational Study
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 66
- 主要终点
- Opioid consumption
研究概览
简要总结
The aim of this study is to evaluate the postoperative analgesic efficacy of the Serratus Posterior Superior Intercostal Plane Block (SPSIP block) in patients undergoing Anterior Cervical Discectomy and Fusion (ACDF) surgery and to compare the outcomes with those of patients who do not receive regional anesthesia.
详细描述
Cervical disc disorders may lead to various signs and symptoms, including neck pain, radicular pain in the upper extremities, sensory disturbances, motor weakness, and functional impairment. Anterior cervical discectomy and fusion (ACDF) is a widely accepted surgical procedure for the treatment of cervical disc herniation and other degenerative cervical spine disorders. However, postoperative pain remains a significant concern and may adversely affect recovery and patient comfort.
A multimodal analgesic approach is commonly preferred for postoperative pain management following cervical spine surgery. The incorporation of regional anesthesia techniques may reduce opioid consumption and opioid-related adverse effects while facilitating earlier mobilization, shorter hospital stay, and improved patient satisfaction.
In patients undergoing ACDF surgery, the Serratus Posterior Superior Intercostal Plane Block (SPSIPB) has emerged as a promising regional anesthesia technique for postoperative pain control. This study aims to evaluate the postoperative analgesic efficacy of SPSIPB and compare postoperative outcomes between patients receiving SPSIPB and those managed without regional anesthesia.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Other
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 between 18 and 70 years.
- •American Society of Anesthesiologists (ASA) physical status I, II, or III.
- •Patients scheduled for elective anterior cervical discectomy and fusion (ACDF) surgery under general anesthesia.
- •Patients who provide written informed consent and agree to participate in the study.
排除标准
- •Patients with a history of bleeding diathesis or those receiving anticoagulant therapy.
- •Patients with a known allergy or hypersensitivity to local anesthetics or opioid medications.
- •Patients with infection at the planned block site.
- •Patients with a history of previous cervical spine surgery.
- •Patients with a history of gabapentinoid or corticosteroid use within the last 3 weeks.
结局指标
主要结局
Opioid consumption
时间窗: 24 hours
1. 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
- 2. Perioperative pain intensity(24 hours)
- Quality of recovery 15 scale(24 hours after surgery)
- Postoperative nausea and vomiting(24 hours)