Erector Spinae Plane Block Clinical Trial
Official title:
Effect of ESPB on Intraoperative Remifentanil Consumption in Lumbar Spine Surgery
In recent years, regional anesthesia techniques have also been frequently applied to patients for pain relief. Erector spinae plane block (ESPB), is among the regional anesthesia techniques frequently used in lumbar spine surgery. General anesthesia (GA) is the main method of anesthesia for lumbar spine surgery. However, GA can only inhibit the projection system of the cortical limbic system or hypothalamic cortex. GA cannot completely block the transmission of peripheral noxious stimulus to the central nervous system and cannot effectively inhibit the intraoperative stress response. With the addition of peripheral blocks such as ESPB, lower remifentanil consumption, and more stable hemodynamics are expected by providing preemptive analgesia in patients. As a result of all these; it was aimed to compare the intraoperative remifentanil consumption of patients who underwent preoperative ESPB in patients who will undergo lumbar spine surgery resection under GA with those who underwent postoperative ESPB.
Status | Recruiting |
Enrollment | 60 |
Est. completion date | December 30, 2024 |
Est. primary completion date | November 30, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility | Inclusion Criteria: - 18 to 65 years old - American Society of Anesthesiologists (ASA) physical status I-II-III - Body mass index 18 to 40 kg/m2 - Elective lumbar disc herniation surgery Exclusion Criteria: - Patient refusing the procedure - Patients who have previously undergone spinal surgery - Chronic opioid or analgesic use - Patients who will operate under emergency conditions - Patients who will not undergo lumbar disc herniation surgery |
Country | Name | City | State |
---|---|---|---|
Turkey | Ankara Etlik City Hospital | Yenimahalle | Ankara |
Lead Sponsor | Collaborator |
---|---|
Atatürk Chest Diseases and Chest Surgery Training and Research Hospital |
Turkey,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Intraoperative remifentanil consumption | The amount of remifentanil that patients need to maintain anesthesia during the intraoperative period will be recorded. | During the intraoperative period | |
Secondary | Mean arterial pressure | Mean arterial pressure values will be recorded before anesthesia, before surgical incision, after surgical incision at the 5th, 30th, 60th, 90th, 120th minutes, and after general anesthesia. | Perioperative period | |
Secondary | Heart rate | Heart rate values will be recorded before anesthesia, before surgical incision, after surgical incision at the 5th, 30th, 60th, 90th, 120th minutes, and after general anesthesia. | Perioperative period | |
Secondary | Pain scores | Pain will be assessed at rest and while coughing using the visual analog scale on a scale from 0 (no pain) to 10 (worst pain). Pain assessment will be done at the 1st, 2nd, 6th, 12th, and 24th hours after surgery. | First 24 hours after surgery |
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