Comparison of the Analgesic Efficacy of Lumbar Erector Spinae Plane Block and Sacral Erector Spinae Plane Block in Lumbar Microdiscectomy Surgeries
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 88
- Locations
- 1
- Primary Endpoint
- total tramadol consumption
Study Overview
Brief Summary
Comparison of the Analgesic Efficacy of Lumbar Erector Spinae Plane Block and Sacral Erector Spinae Plane Block in Lumbar Microdiscectomy Surgeries
Detailed Description
Postoperative pain is commonly observed in patients undergoing lumbar microdiscectomy surgery.
To manage this pain, the lumbar erector spinae plane (ESP) block is frequently administered as part of a multimodal analgesia regimen, particularly with the aim of reducing opioid consumption in these patients.
Recent publications have demonstrated the analgesic efficacy of the sacral erector spinae plane block in lumbar microdiscectomy surgeries.
In this study, the postoperative analgesic effectiveness of the lumbar ESP block-performed two vertebral levels above the surgical site-will be compared with that of the sacral ESP block-performed two vertebral levels below the surgical site.
It is anticipated that this approach will provide effective analgesia while avoiding the use of opioids.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •ASA I, ASA II, and ASA III patients scheduled for single-level lumbar microdiscectomy at the L4-L5 or L5-S1 level.
Exclusion Criteria
- •Pregnant patients
- •Patients who do not consent to the erector spinae plane block
- •Patients requiring mechanical ventilatory support
- •Patients with a history of substance abuse
- •Patients with a known allergy to the medications to be used
- •Patients with bleeding diathesis
- •Patients with infection at the planned block site
- •Patients undergoing surgical intervention at two or more spinal levels
- •Patients with communication difficulties or intellectual disabilities
- •Patients with neuropsychiatric disorders
- •Patients with chronic pain
- •Patients with an expected surgical duration of 180 minutes or more
- •Patients with a prior history of lumbar microdiscectomy
Arms & Interventions
lumbar ESP
sacral ESP
Outcomes
Primary Outcomes
total tramadol consumption
Time Frame: first 24 hours after the surgery
Secondary Outcomes
- patients' visual analog scale(first 24 hours after the surgery)
- To compare analgesic consumption during the postoperative time intervals of 0-2, 2-4, 4-8, 8-12, and 12-24 hours.(first 24 hours after the surgery)
Investigators
SERPİL ŞEHİRLİOĞLU
specialist
Gaziosmanpasa Research and Education Hospital