Erector Spina Plan Block, Nociception Level Index(NoL), Preemptive Analgesia, Thoracotomy
Conditions
Keywords
preemptive analgesia, erector spina plan block, nociception level (NoL) index, thoracotomy, opioid consumption
Brief summary
The patients who will participate in the study will be determined and informed according to the inclusion and exclusion criteria, and the patients who signed the informed consent form will be included in the study.52 patients who will undergo elective thoracotomy surgery will be divided into double-blinded 2 sided as preemptive and postoperative erector spina plane block. Intraoperative pain status of the patients will be determined by the Nociception Level Index device and analgesia will be provided with fentanyl. The primary aim of the study is to compare the intraoperative opioid consumption of two groups with plan block at different times. In the postoperative period, patient-controlled analgesia device will be given to both groups for rescue analgesia. The opioid consumption of the patients will be controlled in this way in the postoperative period and their pain status will be determined. The secondary aim of the study is to examine the effect of plan block application time on the postoperative period.
Interventions
PROCEDUREErector Spina Plan Block
Preemptive erector spina plan block and postoperative erector spina plan block were applied to patients undergoing thoracotomy. The effect of the time of application on intraoperative opioid consumption was compared with the Nociception Level Index pain monitor.
Sponsors
The Scientific and Technological Research Council of Turkey
Ankara University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Age between 18-65 years * ASA classification \<4 * No history of allergy or hypersensitivity to the drugs we use throughout the procedure * BMI ≤ 35 * No history of neuropathy * Surgeries other than emergency surgery * Volunteer for the study * No presence of infection at the injection site * No any pyschiatric disease that would prevent the evaluation of the pain score
Exclusion criteria
* Under the age of 18 or over the age of 65 * ASA classification ≥ 4 * History of allergy or hypersensitivity to the drugs we use throughout the procedure * BMI \> 35 * History of neuropathy * Undergoing emergency surgery * Not be a volunteer for the study * Presence of infection at the injection site * Having a pyschiatric disease that would prevent the evaluation of the pain score * Pregnancy * Undergo surgery again during the postoperative follow-up period for any reason
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The value of Nociception Level Index (NoL) in both preemptive and postoperative groups | Up to 24 hours | We aim to determine the effect of preemptive or postoperative application of ESPB ın the amount of intraopioid consumption by Nociception Level Index |
Countries
Turkey (Türkiye)
Outcome results
None listed