Comparative Efficacy of Ultrasound-guided Erector Spinae Plane Block Versus Wound Infiltration for Postoperative Analgesia in Instrumented Lumbar Spinal Surgeries
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Lumbar Spinal Stenosis
- Sponsor
- Saglik Bilimleri Universitesi
- Enrollment
- 80
- Locations
- 1
- Primary Endpoint
- Postoperative pain intensity
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
This study aimed to compare the efficacy of ultrasound-guided erector spinae plane block (ESPB) with that of wound infiltration (WI) for postoperative analgesia in lumbar spinal surgeries involving instrumentation.
Detailed Description
In this randomized controlled trial, 80 patients were divided into two groups: ESPB (n=40) and WI (n=40). Postoperative pain intensity was assessed using the Visual Analog Scale (VAS) at multiple time points within 24 hours. Additionally, opioid consumption, time to first rescue analgesia, incidence of postoperative nausea and vomiting (PONV), and patient satisfaction were evaluated.
Investigators
YÜCEL YÜCE
Associate Professor
Saglik Bilimleri Universitesi
Eligibility Criteria
Inclusion Criteria
- •Elective lumbar spine surgery involving instrumentation
- •ASA physical status I-III
- •Ability to provide informed consent
Exclusion Criteria
- •Known allergies to local anesthetics
- •Coagulopathy or anticoagulant therapy
- •Infection at the injection site
- •Preexisting neurological disorders affecting sensory perception
- •Pregnancy
- •Inability to understand the visual analog scale (VAS) for pain assessment
Outcomes
Primary Outcomes
Postoperative pain intensity
Time Frame: 1., 6., 12., 24., and 48. hours postoperatively
The pain intensity was assessed via the visual analog scale (VAS).The VAS is a 10 cm scale ranging from 0 (no pain) to 10 (worst imaginable pain).
Secondary Outcomes
- Time to first request for rescue analgesia(Noted in hours in the first 48 hours postoperatively)
- Total Opioid Consumption(In the first 48 hours postoperatively)
- Incidence of Side Effects(Recorded as binary outcomes (present/absent) in the first 48 hours postoperatively)
- Patient Satisfaction with Pain Management(At 48 hours postoperatively)