Comparative Study Between Erector Spinae Plane Block Versus Intravenous Morphine as Postoperative Analgesia After Spine Surgeries .
Overview
- Phase
- N/A
- Intervention
- Erector Spinae plane block (plain pubivicaine)
- Conditions
- Discectomy
- Sponsor
- Sohag University
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Postoperative analgesia .
- Status
- Not Yet Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
Postoperative pain is often severe in patients undergoing lumbar surgery. Due to postoperative pain, patients are unwilling to get out of bed at an early stage, which affects their recovery.
Erector spinae plane block (ESPB) as a new trunk fascia block technique was proposed in 2016. ESPB has aroused the interest of many nerve block experts. The benefits of ESPB are not yet demonstrated. The specific mechanism is still controversial.
The erector spinae block is achieved by injecting the local anesthetic solution (with possible adjuvants) between the erector spinae muscles (iliocostalis, longissimus, spinalis/ from lateral to medial) and the transverse process .
The technique is performed under ultrasound guidance.
Investigators
Mohamed Aboelhamed Abdelrahman
resident doctor at Anasthesia department sohag university hospital
Sohag University
Eligibility Criteria
Inclusion Criteria
- •Lumbar Disc Prolapse.
- •Fracture Lumbar Vertebrae
Exclusion Criteria
- •Patient refusal.
- •Drug abuse.
- •Patient with significant neurological, psychiatric or neuromuscular disease.
- •Chronic pain on medicine.
- •known allergy to the study medications.
- •Infection at the site of infiltration.
- •Patients with bleeding tendency.
Arms & Interventions
Erector Spinae Plane block group
(30 patients) will receive bilateral ultrasound guided erector spinae plane block using plain bupivacaine 100 mg diluted to volume using normal saline to achieve 50% concentration ( 50 mg plain pubivicaine in each side ).
Intervention: Erector Spinae plane block (plain pubivicaine)
Intravenous Morphine group
(30 patients) will receive 0.1 mg /kg of intravenous morphine diluted to 10 ml volume using saline at the end of the operation.
Intervention: Intravenous morphine group
Outcomes
Primary Outcomes
Postoperative analgesia .
Time Frame: 24 hours after surgery
The study will include 60 adult patients undergoing uncomplicated spine surgery under general anesthesia. At the end of operation , Patients will be randomly divided using closed enveloped method into two equal groups. * Group 1, (30 patients) will receive bilateral ultrasound guided erector spinae plane block using plain bupivacaine 100 mg diluted to volume using normal saline to achieve 50% concentration ( 50 mg plain pubivicaine in each side ). * Group 2, (30 patients) will receive 0.1 mg /kg of intravenous morphine diluted to 10 ml volume using saline at the end of the operation. postoperative pain assessment according to visual analogue scale ( VAS ) within 24 hours after the surgery. 0 - 3 mild pain ( better outcome ) 4 - 6 moderate pain 7 - 10 severe pain \> 10 unbearable pain ( worst outcome)
Secondary Outcomes
- Avoid side effects of using systemic morphine.(24 hours after surgery)