To study and compare analgesic efficacy and safety of Ultrasound guided Transforaminal cervical nerve root block (CNRB) versus High Thoracic erector spinae plane block ( ESPB) in patients with lower cervical pain : A prospective randomized controlled study
试验速览
- 阶段
- 4 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- To compare the analgesic efficacy and safety of cervical nerve root block (CNRB) vs High thoracic ESPB in patients with lower cervical pain
研究概览
简要总结
It will be a prospective, randomized, controlled study to study the analgesic efficacy and safety for cervical nerve root block (CNRB) vs high thoracic erector spinae block in patients with lower cervical pain. The participants will be allocated in two groups (Group-C and Group-E) by a computer-generated random sequence number method based on their medical history, physical examination, MRI/CT scans. A single anesthesiologist who specializes in interventional pain management and is familiar with US guided pain procedures will determine the level of block to be given and will perform the procedure. Fifty patients in age group 18-70 with BMI between 18-35 with pre- procedural Visual analogue scale (VAS) and neck disability index (NDI) scores evaluated will be included in this study after obtaining informed consent.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 70.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients with upper extremity pain with or without neck pain.
- •Duration of pain more than 6 weeks not responding to conservative treatment(pharmacological) 3)Patient with cervical radicular pain from C5-T1 level pathology on MRI.
- •18-70 years of either gender 5)BMI between 18-35.
排除标准
- •Patient refusal for consent.
- •Patients with bleeding disorders, deranged coagulation profile.
- •Hypersensitivity to any of the local anesthetics and study drugs.
- •Past history of cervical fractures or injury.
- •Patients with history of CVA with or without neurological deficit.
- •Patients with primary or metastatic malignancy.
- •Previous history of lower cervical spine surgery.
- •Congenital gross spinal deformity.
- •Pregnant females.
结局指标
主要结局
To compare the analgesic efficacy and safety of cervical nerve root block (CNRB) vs High thoracic ESPB in patients with lower cervical pain
时间窗: Intraprocedural assessment -At 0 minute, after 5 minutes of starting the procedure followed by 10 min assessment and then 30 min post procedure assessment for any drug related side effects or any procedural side effects also assessing for pain relief | Post procedural | Assessment via VAS and NDI score for pain relief at 1st week ,2nd week ,6th week, 8th week after the procedure by telephonically contacting the patients
次要结局
- 1.To assess the decrease in pain by VAS & NDI before the procedure & after(the procedure at 1-week, 2-week, 6-week, 8 weeks.)
研究者
Palvi
Department of Anesthesia Dr Rajender Prasad Government medical college Tanda Kangra Himachal Pradesh