Body Mass Index, Erector Spinae Plane Block, Lumbar Disc Herniation, Pain, Pain Acute, Pain Postoperative
Conditions
Brief summary
In recent years, obesity has become one of the leading health problems worldwide. It is known that obesity can cause various diseases and negatively impact the quality of life. Therefore, many conditions believed to be affected by obesity and relevant to patients' quality of life have been scientifically investigated and continue to be researched. One of these conditions is postoperative pain, with studies in the literature indicating that postoperative pain levels increase in parallel with each unit increase in BMI. The incidence of lumbar disc herniation (LDH) is on the rise and adversely affecting the quality of life. The primary surgical intervention for LDH is discectomy. In recent years, various less invasive techniques, such as microdiscectomy, have been described to improve both surgical and analgesic outcomes. However, even with microdiscectomy surgery, postoperative pain may occur, and its control should be well-managed. Inadequate pain control can lead to unwanted effects of postoperative pain. Regional analgesia techniques may be preferred for effective analgesic treatment after spinal surgery. Methods such as paravertebral block, erector spinae plane block (ESPB), thoracolumbar interfascial plane block are widely used for analgesia in spinal surgery. The effectiveness of these regional techniques may vary depending on various factors, one of which is BMI. The hypothesis in this study is that as BMI increases, the level of pain in patients may also increase. As a result, this study aims to investigate the relationship between BMI and postoperative pain levels in patients undergoing standard LDH surgery, anesthesia, and analgesia.
Interventions
PROCEDUREErector spinae plane block
Erector spinae plane block will be applied to the patients under real-time ultrasound guidance.
Sponsors
Atatürk Chest Diseases and Chest Surgery Training and Research Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* 18 to 65 years old * ASA physical status I-II-III * BMI 18 to 40 kg/m² * Elective LDH surgery
Exclusion criteria
* Patient refusing the procedure * Patients who have previously undergone spinal surgery * Chronic opioid or analgesic use * Patients who will operate under emergency conditions * Patients who will not undergo LDH surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Scores | 1st hour after surgery. | Pain will be assessed at the first-hour rest and while coughing using the visual analog scale on a scale from 0 (no pain) to 10 (worst pain). Pain assessment will be done at the 1st hour after surgery. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain Scores | 2nd hour after surgery. | Pain will be assessed at the 2nd-hour rest and while coughing using the visual analog scale on a scale from 0 (no pain) to 10 (worst pain). |
| Intraoperative remifentanil consumption | During the intraoperative period | The amount of remifentanil that patients need to maintain anesthesia during the intraoperative period will be recorded. |
Countries
Turkey (Türkiye)
Outcome results
None listed