Comparison Of Single- Versus Two-Level Erector Spinae Plane Block For Postoperative Analgesia In Patients Undergoing Lumbar Stabilization Surgery
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Intraoperative Remifentanyl Consumption
研究概览
简要总结
Lumbar stabilization surgery is commonly associated with moderate to severe postoperative pain. Effective pain control is important to improve patient comfort, early mobilization, and recovery. The erector spinae plane (ESP) block is a regional anesthesia technique that has been increasingly used for postoperative pain management in spine surgery.
This study aims to compare the effectiveness of single-level versus two-level ultrasound-guided ESP block for postoperative pain control in patients undergoing lumbar stabilization surgery. Patients will be randomly assigned to receive either a single-level ESP block or a two-level ESP block in addition to standard analgesic treatment.
Postoperative pain scores, opioid consumption, and the incidence of side effects will be evaluated during the postoperative period. The results of this study may help determine the most effective ESP block technique for pain management after lumbar stabilization surgery.
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
- Triple (Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •ASA I-II-III,
- •BMI:18-40,
- •Patients undergoing lumbar stabilization surgery involving 2 to 4 vertebral levels
- •Patients who personally provide written informed consent to participate in the study
排除标准
- •Patients with chronic pain conditions
- •Patients with a history of chronic opioid use
- •Patients undergoing emergency lumbar stabilization surgery
研究组 & 干预措施
Single Level Erector Spinae Plane Block
Participants in this arm will receive an ultrasound-guided erector spinae plane (ESP) block performed at a single vertebral level corresponding to the surgical site, in addition to standardized general anesthesia and postoperative multimodal analgesia.
干预措施: Single-Level Erector Spinae Plane Block (Procedure)
Two Level Erector Spinae Plane Block
Participants in this arm will receive an ultrasound-guided erector spinae plane (ESP) block performed at two adjacent vertebral levels, in addition to standardized general anesthesia and postoperative multimodal analgesia.
干预措施: Two-Level Erector Spinae Plane Block (Procedure)
结局指标
主要结局
Intraoperative Remifentanyl Consumption
时间窗: During the intraoperative period
The amount of Remifentanyl that patients need to maintain anesthesia during the intraoperative period will be recorded
次要结局
- Pain Scores(First 24 hours after surgery)
研究者
Hatice Ayça Sarıbudak
Anesthesiology and Reanimation Specialist
Ankara Etlik City Hospital