Analgesia, Analgesia, Epidural, ERAS
Conditions
Keywords
postoperative analgesia, periferic nerve block, neuraxial block
Brief summary
The aim of this study is to compare the effectiveness of epidural block or erector spinae plane block applied for postoperative analgesia in gynecological cancer surgeries. The main question(s) it aims to answer are: \[Is erector spinae plane block as effective as epidural block in postoperative analgesia?\] The study was designed as a prospective randomized study. Researchers evaluated the effects of epidural block or erector spinae plane block applied for postoperative analgesia on pain scores, postoperative opioid use, and mobilization in patients undergoing gynecological cancer surgery.
Detailed description
Our study was designed as a prospective randomized study. The investigators evaluated the analgesia methods used in patients undergoing surgery for gynecologic cancer between May 2024 and December 2024. The investigators evaluated the effect of epidural block or erector spina plan block on postoperative analgesia, opioid use and mobilization. Group 1: Epidural block group Group 2: Group with erector spina plan block
Interventions
PROCEDUREPatients who underwent epidural block
The researchers administered an epidural block to prevent post-operative pain to the epidural block group undergoing midline incision surgery for major gynecologic cancer.
PROCEDUREPatients who underwent erector spina plane block
Researchers applied a erector spina plane block to prevent postoperative pain to the erector spina plane block group undergoing midline incision surgery for major gynecological cancer.
Sponsors
Duygu Akyol
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Intervention model description
This study was designed as a prospective randomized study. Patients with ASA II-III between the ages of 30 and 70 who will undergo major gynecological cancer surgery will be included in the study. They will be randomized into 2 groups: the group in which epidural block is applied for postoperative analgesia (Group Epidural) and the group in which erector spinae plane block is applied (Group ESP).
Eligibility
Sex/Gender
FEMALE
Age
30 Years to 70 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients who will undergo open abdominal surgery * Patients with ASAII-III * Those between the ages of 30-70 * Patients who are fully oriented and able to cooperate
Exclusion criteria
* Patients with ASAIV-V * Presence of active infection in the area where the block will be applied * Patients younger than 30 years old * Patients with BMI > 40 * Patients who are allergic to bupivacaine * Chronic analgesic use
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postoperative numerical rating scale | postoperatvely 24 hours | The primary purpose of this study is to compare NRS values at 0, 6, 12 and 24 hours in the first 24 hours postoperatively. Numeric rating scale was used to assess postoperative pain For example, 0-10 where 0 is no pain and 10 is the worst pain imaginable. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Intraoperative amount of remifentanyl | intraoperative process | The secondary aim of this study is to compare the amount of intraoperative remifentanyl |
Other
| Measure | Time frame | Description |
|---|---|---|
| postoperative mobilization time | postoperatvely 24 hours | The other purpose of this study is the first postoperative mobilization process |
Countries
Turkey (Türkiye)
Outcome results
None listed