Postoperative Pain Clinical Trial
Official title:
Efficacy of Cervical Erector Spina Plane Block and Superficial Cervical Plexus Block in Anterior Cervical Disc and Fusion Surgery
Verified date | May 2024 |
Source | Basaksehir Çam & Sakura City Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Erector Spina Plane (ESP) block has been widely used in recent years, and it is also used in the control of postoperative analgesia in many types of surgery due to its proximity to the central area and its wide spread feature. In this study, the investigators aimed to demonstrate the effectiveness of ESP block on postoperative pain management in anterior cervical disc and fusion surgeries.
Status | Completed |
Enrollment | 40 |
Est. completion date | May 14, 2024 |
Est. primary completion date | May 14, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility | Inclusion Criteria: - ASA (American Society of Anesthesiologists) Classification I-II - Anterior Cervical Disc and Fusion Surgery Exclusion Criteria: - Patients with bleeding diathesis - Neurological disease, - BMI (Body Mass Index) less than 19 or greater than 30 - The presence of infection in the neck area - Patients who do not accept the procedure |
Country | Name | City | State |
---|---|---|---|
Turkey | Ergun Mendes | Küçükçekmece | Istanbul |
Lead Sponsor | Collaborator |
---|---|
Basaksehir Çam & Sakura City Hospital |
Turkey,
Elsharkawy H, Ince I, Hamadnalla H, Drake RL, Tsui BCH. Cervical erector spinae plane block: a cadaver study. Reg Anesth Pain Med. 2020 Jul;45(7):552-556. doi: 10.1136/rapm-2019-101154. Epub 2020 Apr 21. — View Citation
Mariappan R, Mehta J, Massicotte E, Nagappa M, Manninen P, Venkatraghavan L. Effect of superficial cervical plexus block on postoperative quality of recovery after anterior cervical discectomy and fusion: a randomized controlled trial. Can J Anaesth. 2015 Aug;62(8):883-90. doi: 10.1007/s12630-015-0382-3. Epub 2015 Apr 14. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Qualitif of Recovery-15 (QoR-15) | The QoR-15 scale is a unidimensional measurement of quality of recovery measured in five domains: physical comfort, pain, physical independence, psychological support, and emotional state. The QoR-15 scale provides a score ranging from 0 to 150, with a high score indicating a good quality of recovery | Postoperative 24th hour | |
Primary | VAS (Visual Analog Scala) score | The patients were followed up with a VAS score between 0-10 in the postoperative period. A VAS score of 0 was defined as no pain, and 10 as the most severe pain imaginable. | Postoperative 24th hour | |
Secondary | Analgesic consumption | The value in mg of the amount of analgesic consumed in the postoperative period. It was administered with a PCA device that had regular infusions and was able to deliver bolus doses at regular intervals. | Postoperative 24th hour | |
Secondary | Postoperative nausea and vomiting | The frequency of nausea and vomiting in the postoperative period was calculated according to the Numeric Rank Score (NRS), which ranged from 0 to 3. Nausea-vomiting status of the patients: 0 points if there is no nausea and vomiting; 1 point if there is nausea, no vomiting; It is scored as 2 points if there is vomiting once and 3 points if there are two or more vomiting attacks. | Postoperative 24th hour | |
Secondary | Chronic Pain | Evaluation of shoulder pain level in terms of chronic pain in the postoperative period. It was evaluated using the VAS (Visual Analog Scala) score. The patients were followed up with a VAS score between 0-10 in the postoperative period. A VAS score of 0 was defined as no pain, and 10 as the most severe pain imaginable. | 1 month after surgery |
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