Ultrasound-guided Bilateral Erector Spinalis Plane Block on Postoperative Pain Management in Liver Transplantation Donors
Overview
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Medipol University
- Enrollment
- 41
- Locations
- 1
- Primary Endpoint
- Opioid consumption
Overview
Brief Summary
Living donor liver transplantation has become a common treatment option for patients with end-stage liver disease. Donor hepatectomy is associated with significant postoperative pain due to inverted L-shaped incision. Therefore adequate analgesia is important for recovery.
Erector Spinae Plane Block (ESPB) is a safe anesthesia technique used to provide postoperative analgesia. This study aimed to compare the novel ultrasound-guided ESPB technique with controls in terms of postoperative opioid consumption and postoperative pain control on donor patients.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Outcomes Assessor)
Masking Description
The patient and the anesthesiologist who performs postoperative pain evaluation will not know the group.
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Donor patients scheduled for elective hepatectomy in liver transplantation surgery
- •Patients who are aged between 18-65
Exclusion Criteria
- •Patients who do not accept the procedure
- •Skin infection at the site of Erector Spina Plan Block area
- •Coagulation disorder or using anticoagulant drugs
- •Known local anesthetics and opioid allergy
- •Severe pulmonary and/or cardiovascular problems
- •Substance addiction or known psychiatric or mental problems
- •Chronic painkiller usage
- •Pregnancy or lactation
Outcomes
Primary Outcomes
Opioid consumption
Time Frame: Change from baseline opioid consumption at postoperative 0, 2, 4, 6, 12, 24, 36 and 48 hours
The amount of fentanyl required by the patient and given by the device will be recorded for the first 48 hours.
Secondary Outcomes
- Visual Analog Scale(Change from baseline pain scores at postoperative 0, 2, 4, 6, 12, 24, 36 and 48 hours)
Investigators
Tumay Uludag Yanaral
Assistant professor, MD
Medipol University