Randomized, Double Blind Trial of Thoracolumbar Interfascial Plane Block and Erector Spinae Plane Block for Adult Spinal Surgery
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Postoperative Pain
- Sponsor
- Bezmialem Vakif University
- Enrollment
- 60
- Primary Endpoint
- Total morphine consumption
- Last Updated
- 5 years ago
Overview
Brief Summary
Spinal surgery is typically associated with severe postoperative pain. Although the number of spinal surgeries has increased day by day, postoperative pain management have been limited. The recently described thoracolumbar interfacial plane block (TLIPB) has been reported to provide effective postoperative analgesia in spinal surgery. In addition, the recently described erector spinae plane block (ESPB) is obtained by applying the local anesthetic drug between the fascia of the spina muscles and the transverse process of the vertebrae. Anatomical and radiological investigations in fresh cadavers suggest that the potential place of influence of ESPB is dorsal and ventral spinal nerve roots. A small number of publications showing the analgesic efficacy of ESP in spinal surgery have been reported in the literature. In this study, the investigators aimed to compare the analgesic efficacy of TLIPB and ESPB in spinal surgeries.
Investigators
Serdar Yeşiltaş
İnstructor
Bezmialem Vakif University
Eligibility Criteria
Inclusion Criteria
- •20-75 years
- •Patients scheduled for elective surgery
Exclusion Criteria
- •Patients with previous neurological disease symptoms (TIA, syncope, dementia, etc.)
- •Allergy to drugs
- •Major cardiac disease
- •Renal failure
- •Psychiatric disease
- •Patients who refuse to participate in the study
- •Chronic back and lower back pain
Outcomes
Primary Outcomes
Total morphine consumption
Time Frame: 48 hour
The total amount of morphine given by patient controlled analgesia in 48 hours will be recorded.
Secondary Outcomes
- Pain intensity score at rest(48 hour)
- Pain intensity score at movement(48 hour)
- Time to first rescue analgesia(48 hour)
- Postoperative nausea and vomiting(48 hour)
- Patient satisfaction score(48 hour)