Comparison of ultrasound guided injection of local anesthetic between back muscle planes to direct injection in and around the back muscles, for post operative pain relief after spine surgeries.
Phase 3
- Registration Number
- CTRI/2021/06/034407
- Lead Sponsor
- orthern railway central hospital
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Yet Recruiting
- Sex
- Not specified
- Target Recruitment
- 0
Inclusion Criteria
Patients aged 18-75 years old, with American Society of Anaesthesiologists Physical status 1-3 scheduled for open lumbar fusion surgery.
Exclusion Criteria
1. Allergy or intolerance to any of the drugs used in the study.
2. Kidney, liver, central or peripheral neurologic disease, coagulopathy.
3. Pre-existing neurologic or anatomic deficits in the lower extremities.
4. Severe psychiatric illness.
5. Infection in the intervention region.
6. History of narcotic drug use within 24 hours before operation.
7. History of chronic pain, narcotic substance or alcoholic dependence.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The primary objective of this study is to compare 24 hour post-operative cumulative analgesic consumption between erector spinae plane (ESP) block with local wound infiltration of anaesthesia (LWIA) after open lumbar spine fusion surgeries.Timepoint: 24 hours post surgery
- Secondary Outcome Measures
Name Time Method 1. Comparison of static pain, scores between the 2 groups, as assessed by the verbal numeric rating scale (VNRS) at 0, 1, 6, 12 and 24 hours <br/ ><br>2. Comparison of dynamic pain score between the 2 groups, as assessed by the verbal numeric rating scale (VNRS) at12 and 24 hours. <br/ ><br>3. Comparison of quality of recovery (QOR-40) score between the 2 groups at postoperative day 2. <br/ ><br>4. Postoperative nausea and vomiting will be noted and graded according to a standard PONV scoring system.Timepoint: At 0, 1, 6, 12, 24 hours for static pain and at 12 and 24 hours for dynamic pain. <br/ ><br>QOR-40 on day two.