(Lumbar disc herniation and Lumbar spinal stenosis) , lumbar UBE (unilateral biportal endoscopic) surgery.
Conditions
Interventions
Group 1:Erector spinae plane block (0.25% ropivacaine 20 ml, ESPB) at the level of the second transverse vertebral process above the operative segment + peripheral patient intravenous autocontrolled a
Group 2:No block, only peripheral patient intravenous autocontrolled analgesia (PCIA)
Sponsors
Binzhou Medical University Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: 1. Patients undergoing posterior lumbar endoscopic spinal canal decompression or concurrent nucleus pulposus removal under elective general anesthesia. The surgical procedure is a lumbar UBE (unilateral biportal endoscopic) surgery. 2. Age: 18-65 years old; 3. ASA: I-III; 4. Informed consent of patients.
Exclusion criteria
Exclusion criteria: 1. ASA >= ?; 2. Allergy to local anesthetic (ropivacaine); 3. Infection at the puncture site; 4. History of lumbar open surgery; 5. Coagulation dysfunction or anticoagulant drugs are being used; 6. History of analgesic drug abuse; 7. Communication barriers; 8. The operation time is more than 3 hours.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative 24h and 48h fentanyl consumption;QoR-15 scores before surgery and at 24h and 48h after surgery;Intraoperative remifentanil consumption [µg/(Kg.min)]; | — |
Secondary
| Measure | Time frame |
|---|---|
| Intraoperative myorelaxant dosage ;numeric rating scale (NRS) score;Time to first postoperative self-administered analgesia;Postoperative analgesic remediation rate;Postoperative opioid-related adverse reactions (nausea, vomiting, drowsiness, respiratory depression, etc.);Positive response rate of 10% increase in heart rate and or blood pressure in patients at four moments of skinning, fascial dilatation, clamping and biting of the periosteum and loosening of the retracted nerve roots; | — |
Countries
China
Contacts
Public ContactDan Zhao
Binzhou Medical University Hospital
Outcome results
None listed