Block Clinical Trial
Official title:
Ultrasound-guided Lumbar Erector Spinae Plane Block For Postoperative Analgesia in Knee Prosthesis
To determine the postoperative analgesic efficiency of ultrasound-guided lumbar erector spinae plane block, patients are divided into two groups. Study group received ultrasound-guided lumbar erector spinae plane block, where control had none. Visual analog scale and opioid consumption are recorded.
Erector spinae plane block has successfully been demonstrated to provide an efficient
analgesia in patients with rib fracture, open thoracotomy, breast surgery. The present study
is aimed to investigate the intraoperative hemodynamic responses, anesthetic and analgesic
consumption, and postoperative recovery quality of erector spinae plane block in patients
with knee prosthesis. After approval, patients enrolled in the study are divided into two
groups by computer-based randomization technique as control and study group. After standard
monitorization, anesthesia induction and tracheal intubation, erector spinae plane block is
performed to study group and no intervention to control group.
In the intraoperative period, 10 mg / kg paracetamol and 0.05 mg / kg morphine will be used
for postoperative analgesia. After surgery, all patients will be given 10 mg/kg paracetamol
every 8 hours and will be fitted with a patient-controlled analgesia (PCA) device (Tramadol
HCL). PCA device bolus dose will be set to 20 mg, lock time will be set to 10 minutes and the
number of buttons per hour will be set as 3.for postoperative analgesia.After surgery, VAS
scores of the patients will be evaluated (in the recovery room, 1,3,6,12 and 24 hours,
Patients with VAS≥4 will be given 0.03mg / kg morphine as salvage analgesia.After 30 minutes,
the patients' VAS will be re-evaluated,If VAS≥4 the same dose will be repeated.
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