Retrolaminar Block Versus Erector Spinae Plane Block as Opioid-Free Anesthesia for Enhanced Recovery After Posterior Lumbar Discectomy: A Randomized Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 90
- 试验地点
- 1
- 主要终点
- Time to the 1st rescue analgesia
研究概览
简要总结
The aim of this study is to compare retrolaminar block and erector spine plane block as opioid-free anesthesia for enhanced recovery after posterior lumbar discectomy.
详细描述
Lumbar discectomy is a common procedure for patients who experience leg and back pain due to disc problems. Effective pain management is crucial for timely discharge and successful rehabilitation.
Opioid-free anesthesia is a technique that avoids the use of opioids during surgery. Enhanced recovery after surgery (ERAS) pathways are helpful strategies for incorporating opioid-free pain management techniques into clinical practice.
Erector spine plane block (ESPB) and retrolaminar block (RLB) are considered to be compartment blocks or interfacial plane blocks. In these approaches, local anesthetics are assumed to penetrate the superior costotransverse ligament and reach the paravertebral space, although the needle tip is not advanced into the paravertebral space.
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
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age from 18 to 65 years.
- •Both sexes.
- •American Society of Anesthesiology (ASA) physical status I-II.
- •Undergoing elective posterior lumbar discectomy under general anesthesia.
排除标准
- •Body mass index (BMI) >35 kg/m
- •Patients with disturbed mental status.
- •Allergies to the drugs used in the study.
- •Local infection at the puncture site.
- •Cardiac insufficiency.
- •Renal insufficiency.
- •Coagulopathy.
- •Chronic opioid use.
研究组 & 干预措施
Retrolaminar block group
Patients will receive retrolaminar block after the induction of general anesthesia.
干预措施: Retrolaminar block (Other)
Erector spinae plane block group
Patients will receive erector spinae plane block after the induction of general anesthesia.
干预措施: Erector spinae plane block (Other)
结局指标
主要结局
Time to the 1st rescue analgesia
时间窗: 24 hours postoperatively
Time from end of surgery to first dose of morphine administrated.
次要结局
- Time to discharge(Till the Aldrete score is ≥9 (Up to 3 hours))
- Recovery time(Till first response to verbal command (Up to 1 hour))
- Intraoperative fentanyl consumption(Intraoperatively)
- Total morphine consumption(24 hours postoperatively)
- Degree of pain(24 hours postoperatively)
- Length of hospital stay(Till discharge from hospital (Up to 1 week))
- Incidence of adverse events(24 hours postoperatively)
研究者
Mohammed Said ElSharkawy
Lecturer of Anesthesiology, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.
Tanta University