Regional Analgesia Using Ultrasound-Guided Intermediate Cervical Plexus Block or Cervical Erector Spinae Block for Anterior Cervical Spine Surgery: A Randomized Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 58
- 试验地点
- 1
- 主要终点
- The time to first call to rescue analgesia
研究概览
简要总结
• Neck pain and stiffness or sore throat, are common after anterior cervical spine surgery. Complications are rare but can be serious and even potentially life-threatening if they do occur. Rapid recovery and emergence from general anesthesia are important in cases of anterior cervical spine surgery.
详细描述
- Null hypothesis (H0): No difference between the regional analgesia effects of bilateral ultrasound-guided superficial cervical plexus block and bilateral cervical erector spinae block in patients undergoing anterior cervical spine surgery under general anesthesia.
- Alternative hypothesis (H1): There are differences between the regional analgesia effects of bilateral ultrasound-guided superficial cervical plexus block and bilateral cervical erector spinae block in
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 21 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patient acceptance.
- •Age (21-60) years old.
- •American Society of Anesthesiologist physical status I / II
- •Elective anterior cervical spine surgery under general anesthesia.
- •patient With Body Mass Index (BMI) (25-35kg/m²)
排除标准
- •Local infection at site of puncture.
- •Altered mental status.
- •History of allergy to study drugs ( bupivacaine, fentanyl).
- •Patients with chronic pain.
- •Patients with severe hepatic or kidney impairment.
- •Patients having a history of hematological disorders, including coagulation abnormality.
研究组 & 干预措施
Superficial cervical group
patients will receive bilateral ultrasound guided intermediate cervical plexus block using 15 ml of bupivacaine 0.25% for each side.
干预措施: intermediate cervical plexus block (Procedure)
Erector spinae group
patients will receive bilateral ultrasound guided cervical erector spinae plane block using 15 ml of bupivacaine 0.25% for each side at the level of C6.
干预措施: Cervical Erector spinae block (Procedure)
结局指标
主要结局
The time to first call to rescue analgesia
时间窗: 24 hour postoperative
The time to first call to rescue analgesia (nalbuphine) the time between the end of surgery to first report of postoperative pain. will be recorded.
次要结局
- Pain intensity(up to 24hs postoperative)
- Total intra-operative fentanyl consumption(intra-operative)
- The total amount of nalbuphine(24 hour postoperative)
研究者
Alshaimaa Abdel Fattah Kamel
Assistant professor of Anesthesia, Intensive Care and Pain Management
Zagazig University