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临床试验/NCT06295224
NCT06295224已完成不适用

Retrospective Evaluation of Postoperative Analgesia Efficacy of the Anterior Iliac Block in Anterior Iliac Crest Bone Graft Harvesting: Preliminary Study

Kocaeli University1 个研究点 分布在 1 个国家目标入组 16 人开始时间: 2024年1月1日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
16
试验地点
1
主要终点
Morphine consumption

研究概览

简要总结

In this study, the investigators aimed to evaluate the effect of ultrasound-guided anterior iliac block which was performed preoperatively. Anterior iliac bone harvesting is associated with severe postoperative pain. As several fascial plane blocks were defined to provide analgesia, their effects are debatable and requires high volumes of local anesthetic considering the regional anesthesia technique used for the main surgical procedure.

详细描述

Autologous bone grafting is the method called the gold standard in the reconstruction of bone defects and nonunions. Anterior iliac crest is most frequently preferred as the source of autologous bone graft. However, severe pain after anterior iliac crest graft harvesting increases morbidity. Various regional anesthesia techniques have been defined for the purpose of postoperative analgesia. The mechanism of fascial plane blocks, one of these techniques, has not been fully elucidated and drug distribution varies from person to person. Postoperative analgesia of the iliac crest donor site can be achieved by i infiltration of local anesthetics or morphine. Single injection or continuous infusions of local anesthetic have proven effective in adults.

In this study; the investigators aimed to retrospectively scan the records of patients who received anterior iliac bone graft in our clinic and determine the postoperative analgesia effectiveness of anterior iliac block. The data obtained after the research will make a significant contribution to the literature in the postoperative analgesia management of patients who are planned to receive anterior iliac bone graft.

研究设计

研究类型
Observational
观察模型
Case Only
时间视角
Retrospective

入排标准

年龄范围
18 Years 至 70 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • ASA-1, ASA-2 and ASA-3 patients
  • Female/male

排除标准

  • Anticoagulant drug use
  • Known allergy to the medications to be used
  • Infection in the area where the needle will be inserted
  • Missing data

结局指标

主要结局

Morphine consumption

时间窗: postoperative 1st hour, 6th hour, 12th hour and 24th hour

Morphine consumption with patient controlled analgesia device

次要结局

  • NRS score(postoperative 1st hour, 6th hour, 12th hour and 24th hour)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Hadi Ufuk Yörükoğlu

principal investigator

Kocaeli University

研究点 (1)

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