Lumbar Disc Disease
Conditions
Keywords
erector spinae block, Lumbar disc surgery
Brief summary
Aim of this study was to assess the efficacy of erector spinae plane block (ESB) for postoperative pain management in lumbar spine surgery.
Interventions
PROCEDUREerector spinae block for group E
. The patient will be placed in the prone position. A high-frequency linear probe or a curved array probe, depending on the BMI of the patient, will be placed in longitudinal alignment, 2-3cm lateral to the vertebral column. The transverse processes of the vertebrae at the level of surgery, the erector spinae muscle, and the psoas muscle will be identified. A 5- or 8-cm 22-G ultrasound needle will be inserted with an in-plane technique in a cephalad-to-caudal direction until bone contact with the top of the transverse process is reached. After slight retraction of the needle, 20ml of bupivacaine 0.25% will be injected behind the erector spinae muscle. The same procedure will be repeated on the contralateral side.
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Patients American Society of Anesthesiologists physical status (ASA) I and II. * Both sexes. * Age between 20 to 60 years old. * Scheduled for lumbar spine surgeries.
Exclusion criteria
* Patients who received long acting opioids preoperatively. * Patients with bleeding disorders and coagulopathy. * Infection at the injection site. * Allergy to local anesthetics. * Patients with significant cognitive dysfunction. * Patients with diabetic neuropathy. * Patients with uncontrolled hypertension or diabetes. * Patients with advanced cardiac, respiratory, hepatic or renal disease. * Patients with viral hepatitis or HIV.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the postoperative 24 hours morphine consumption | 24 hours postoperative | the analgesic effect of erector spine block will be assessed postoperative by numeric rating scale (NRS), if NRS is more than 3 the patient will receive a rescue dose of 5 milligrams of morphine |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean Blood pressure in mmHg | 24 hours postoperative | Measure mean blood pressure of patients postoperative every 4 hours |
| Heart rate | 24 hours postoperative | Measure heart of the patients postoperative every 4 hours |
| Patient satisfaction | 24 hours postoperative | Measure patient satisfaction by asking the patient if he is satisfied or not yes or no |
| First time of mobilization to a chair | 24 hours postoperative | Measure the time to first mobilization to a chair in minutes |
Countries
Egypt
Contacts
Primary Contactamgad A hamdi, MSc
Outcome results
None listed