Postoperative lumbar pain (lumbar laminectomy). Other acute postprocedural pain
Conditions
Interventions
Intervention 1: Intervention GroupIn: patients assigned to the intervention group, at the end of lumbar laminectomy surgery after complete completion of all surgical steps, achievement of adequate hem
Sponsors
Babol University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: Age between 18 and 65 years. Candidate for elective lumbar laminectomy surgery at a maximum of two levels between L1 and L5. Provision of written informed consent to participate in the study. No use of any analgesic medication within 48 hours before surgery. No history of rheumatologic or musculoskeletal disorders. No known allergy to bupivacaine or anesthetic drugs. Body mass index less than or equal to 45.
Exclusion criteria
Exclusion criteria: Inability to understand or reliably report pain intensity using the Visual Analog Scale (VAS) Presence of neurological disorders that affect pain perception, sensation, or motor function Presence of active infection, inflammation, or skin lesion at the planned erector spinae block injection site Documented coagulation disorders or use of anticoagulant medications that contraindicate regional anesthesia blocks Presence of severe and unstable systemic diseases that make regional analgesia unsafe
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Severity of postoperative pain measured using the Visual Analog Scale (VAS) during the first 24 hours after surgery. Timepoint: Postoperative pain severity will be measured using the Visual Analog Scale (VAS) after the intervention, immediately in the recovery period following the end of surgery, and subsequently at 2, 6, 12, and 24 hours after completion of lumbar surgery. Method of measurement: Pain intensity is measured using the Visual Analogue Scale for pain assessment, in which zero represents no pain and ten represents the worst imaginable pain. All assessments are performed by a trained evaluator blinded to group allocation. | — |
Secondary
| Measure | Time frame |
|---|---|
| Time to first administration of intravenous analgesic after completion of lumbar surgery. Timepoint: From the end of surgery until administration of the first intravenous analgesic within the first 24 hours postoperatively. Method of measurement: Recording the time of first intravenous analgesic administration according to nursing and medication records.;Length of hospital stay after completion of lumbar surgery. Timepoint: From the completion of lumbar surgery until hospital discharge. Method of measurement: Calculation of hospital stay based on recorded admission and discharge dates and times in medical records.;Level of functional disability in activities of daily living during the first week after hospital discharge. Timepoint: One week after hospital discharge. Method of measurement: Assessment of functional disability using the Quebec Functional Disability Scale questionnaire, which evaluates daily activity performance. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMeisam Ghorbanpoor
Babol University of Medical Sciences
Outcome results
None listed