Anesthesia, Local, Anesthesia, Regional, Pain, Postoperative, Spinal Disease
Conditions
Keywords
ultrasound-guided bilateral erector spina plane block, wound infiltration analgesia, spinal surgery
Brief summary
The aim of our study is to determine the superior procedure in analgesia management by comparing the traditional wound infiltration technique with the ultrasound-guided bilateral erector spina plan block technique in spinal surgery patients.
Detailed description
Patients in ASA I-II-III risk group aged 18-80 who will undergo spinal surgery by Trakya University Faculty of Medicine, Brain and Nerve Surgery will be included. In this study, patient data will be collected in the form of file scanning. Intra-operative; hemodynamic data of patients; heart rate, blood pressure values, anesthetic and other drugs applied, surgery and anesthesia durations will be written from the anesthesia document after the operation is over. In the study, the application preferred by the anesthesiologist for the patient will not be intervened. The patients will be divided into three groups; wound infiltration technique was applied, ultrasound-guided bilateral erector spina plan block technique was applied and both techniques were applied together. After the operation; pain values will be calculated by VAS at the 1st, 2nd, 4th, 6th, 12th and 24th hours of the patients. The patient's length of stay, satisfaction (excellent, good, moderate, poor) and methods used for analgesia will be recorded. With the results collected in our study, it will be determined which procedure is superior in pain management for spine surgery.
Interventions
OTHERVisual Analog Score
The VAS is a widely used tool in research and clinical practice, and its reliability and validity in pain assessment has been clearly demonstrated. It consists of a 100 mm line. 0 cm no pain, 10 cm is associated with 'worst possible pain'. The patient is asked to mark the line to 'score' the pain. VAS values of 1cm - 3cm weak, 4cm - 6cm moderate, and \>7cm are the indicators of severe pain.
OTHERpatient satisfaction
The patient's satisfaction with postoperative pain treatment will be recorded. 4 options; excellent, good, medium and bad.
Sponsors
Trakya University
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Undergoing elective spine surgery * No contraindication to the technique to be applied * Not pregnant * Being over the age of 18
Exclusion criteria
* Undergoing emergency spine surgery * There is an obstacle to the technical process to be applied * Pregnant patients * Patients younger than 18 years old
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Score | postoperative 24 hours score change | It consists of a 100mm line. 0cm no pain, 10cm is associated with 'worst possible pain'. The patient is asked to mark a line to 'score' the pain. VAS values of 1cm-3cm weak, 4cm-6cm moderate, and \>7cm are the indicators of severe pain.After the operation; pain values will be calculated by VAS at the 1st, 2nd, 4th, 6th, 12th and 24th hours of the patients. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| patient satisfaction | postoperative 24 hours score change | The patient's satisfaction with postoperative pain treatment will be recorded. 4 options; excellent, good, medium and bad. |
Countries
Turkey (Türkiye)
Outcome results
None listed