Opioid Consumption, Quality of Recovery(QoR-40), Preoperative and Postoperative
Conditions
Keywords
opioid consumption, quality of recovery
Brief summary
Erector Spinae Area (ESP) Block and Mid-Transverse Process to Pleura Block(MTP) have recently been described for the treatment of pain after lumbar spinal surgery. Although these blocks have been shown to be effective in the treatment of pain after lumbar spinal surgery when compared with postoperative pain, they have not been compared in terms of the quality of recovery and opioid consumption after lumbar spinal surgery. The aim of this clinical trial is to compare the effects of Erector Spinae Area (ESP) Block and Mid-Transverse Process to Pleura Block(MTP) on quality of recovery and opioid consumption in patients scheduled for lumbar spinal surgery. The effects of the 2 blocks on postoperative pain will also be compared and recorded.
Interventions
DIAGNOSTIC_TESTNumeretic rating scale (NRS)
NRS is a pain intensity determination system based on the person being asked to describe their pain on a scale of 0 (none), 10 (unbearable pain) and a point between.
DIAGNOSTIC_TESTQuality of Results (QoR-40)
Several rating scales have been developed to measure quality of recovery after surgery and anaesthesia, but the most extensively used is the QoR-40, a 40-item questionnaire that provides a global score and subscores across five dimensions: patient support, comfort, emotions, physical independence, and pain.
OTHEROpioid consuption
Opioid consuption will be recorded from PCA
Sponsors
Aydin Adnan Menderes University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Caregiver)
Masking description
Blind patients and postoperative follow-ups will not know which group the patient is in the study. Randomization will be done with computer support.
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Elective Lumbar Spinal surgery performed * ASA I-III * 18-75 years old
Exclusion criteria
1. Refusal at enrollment 2. Request for withdrawal from the study 3. Inability to give informed consent 4. Emergency surgery 5. Bleeding diathesis 6. Presence of contraindications to the LA agents used in this study 7. Use of chronic opioids 8. Psychiatric disorders 9. Presence of infection at the injection site
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postoperative opioid consumption | PCA results will be recorded at the 1st, 6th, 12th, 24th hours postoperatively. | The patient will be administered tramadol PCA every eight hours and recorded. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| quality of recovery | 24 hours | The quality of recovery (QoR-40) of patients who underwent both ESP block and MTP block at the 24th hour postoperatively will be evaluated with a scoring system. |
Contacts
Primary ContactSinem Sarı, Prof Dr
Outcome results
None listed