Comparation of Bilateral and Unilateral Erector Spinae Plane Block

Completed

• Conditions: Multimodal Analgesia; Regional Anesthesia; Postoperative Pain, Acute
• Interventions: Procedure: Bilateral Erector spinae plane block; Procedure: Unilateral Erector spinae plane block

• Registration Number: NCT05152602
• Lead Sponsor: Ankara City Hospital Bilkent

Brief Summary

Although laparoscopic cholecystectomy is a minimally invasive surgery with many advantages, it is one of the operations with high postoperative pain scores. Opioids are frequently used to prevent postoperative pain. Due to the side effects of opioids, the amount of use is tried to be reduced. Regional anesthesia techniques can be used to minimize opioid consumption. Erector spina plane block was first described in 2016 by Forero et al. in the treatment of thoracic neuropathic pain. Since then, ESP block has been used as an anesthetic and analgesic technique. It is applied by injecting local anesthetic into the fascial plane located between the erector spina muscle and the transverse process of the vertebra. Several high-level studies have shown that the ESP block can be used to reduce postoperative pain after gastrointestinal surgery. Several studies have evaluated the effect of ESP block for pain relief after laparoscopic cholecystectomy. ESP block has been applied unilaterally or bilaterally in various studies. However, in the current studies in the literature, the advantages or disadvantages of the bilateral application of the ESP block compared to the unilateral application have not been evaluated. In this study, the investigators aimed to evaluate postoperative pain by applying ESP block to patients who underwent laparoscopic cholecystectomy and to evaluate the advantages of unilateral or bilateral application of ESP block over each other.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2021-11-29
• Study First Submitted QC: 2021-11-29
• Study First Posted: 2021-12-10
• Study Start: 2022-01-01
• Primary Completion: 2022-02-28
• Study Completion: 2022-03-10
• Status Verified: 2023-01
• Last Update Submitted: 2023-01-09
• Last Update Posted: 2023-01-10

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 54

Inclusion Criteria

• Patients who underwent laparoscopic cholecystectomy surgery between December 2021 and January 2022 will participate in the study.

Exclusion Criteria

• There is no exclusion criteria for the study.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Bilateral ESP block group	Bilateral Erector spinae plane block	The group who underwent laparoscopic cholecystectomy and underwent bilateral ESP block for postoperative analgesia.
Unilateral ESP block group	Unilateral Erector spinae plane block	The group who underwent laparoscopic cholecystectomy and underwent unilateral ESP block for postoperative analgesia.

Primary Outcome Measures

Name	Time	Method
Visual analog scale	0-24 hour	A Visual Analogue Scale (VAS) is a measurement instrument that tries to measure a characteristic or attitude that is believed to range across a continuum of values and cannot easily be directly measured. It is often used in epidemiologic and clinical research to measure the intensity or frequency of various symptoms.
Opioid consumption	24 hour	Total usage of opioid's dosage when the patients VAS scores over than the four

Trial Locations

Locations (1)

Ankara City Hospital; 🇹🇷 Ankara, Turkey