The Effect of Erector Spinae Block for Postoperative Pain Management Cesarean Delivery Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 56
- 试验地点
- 2
- 主要终点
- 24-hour opioid consumption
研究概览
简要总结
Erector spinae plane (ESP) block is an interfacial plane block with visceral and somatic analgesic activity at paraspinal muscles. This study aims to examine the postoperative analgesic efficacy of ESP block after cesarean section (CS) with Pfannenstiel incision under spinal anesthesia.
详细描述
The study included 54 patients with mild systemic disease (ASA II patients) who would undergo elective CS under spinal anesthesia. They were randomly divided into an ESP block group (Group E) and a control group (Group C). After the surgery, Group E patients underwent ultrasound-guided bilateral ESP block with 20 ml of 0.25% bupivacaine at the lateral decubitus position, while Group C received no intervention. Patients in both groups received parenteral patient-controlled analgesia. The patients' post-operative 24-hour opioid consumption, regular Visual Analogue Scale (VAS) measurements, and need for rescue analgesics were evaluated. Statistical analysis was performed using SPSS 21 program. Demographic and other data were assessed using independent samples t-test, Mann-Whitney U test, and Chi-square analysis.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- Double (Investigator, Outcomes Assessor)
盲法说明
Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •ASA II patients
- •18-45 years who underwent CS with Pfannenstiel incision under spinal anesthesia
- •agreed to participate in the study
排除标准
- •Patients with infection at the injection site
- •Coagulopathy Allergy to amide-type local anesthetics
- •History of peripheral neuropathy
- •Hepatic and/or renal failure
- •Refusing the procedure
- •patients with heart disease
结局指标
主要结局
24-hour opioid consumption
时间窗: up to 24 hour
The amount of tramadol consumed in milligrams in the first 24 hours was determined with a patient-controlled analgesia pump.
次要结局
- Visual Analog Scale (Vas)(0, 30 minutes, 1 hour, 2 hours, 6 hours, 12 hours, 24 hours)
研究者
Gökçe Gişi
Assistant Professor
Kahramanmaras Sutcu Imam University