Erector Spinae Plane Block, Lumbar Disc Herniation, Postoperative Pain, Wound Infiltration
Conditions
Brief summary
This study included 46 patients who underwent lumbar disc herniation surgery under general anesthesia. After the operation, US-guided ESPB was performed on Group E, and WI was performed on Group W. Postoperative pain was assessed, and the time to first analgesic requirement, total analgesic amount in 24 hours, and side effects were recorded. IBM SPSS Statistics 22 was used for statistical analyses.
Interventions
ESPB group received US-guided plane block, WI group received local anaesthetic wound infiltration
Sponsors
Dr. Lutfi Kirdar Kartal Training and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
DOUBLE (Subject, Investigator)
Masking description
The study was initially conducted without prior registration, but a registration number is now required for publication
Intervention model description
The study design was double-blind, prospective, randomized, and controlled, involving patients undergoing elective lumbar disc herniation surgery.The patients were randomized into two groups, the ESPB group (Group E) and the WI group (Group W), with 25 patients in each group, using a computer system. ESPB or WI was administered to the patients according to the randomization before awakening after the operation.
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Anesthesiologists (ASA) physical status I-II
Exclusion criteria
* Patients with recurrent lumbar disc herniation, * Obesity (body mass index \>35 kg/m2), * Infection in the surgical site, * Known local anesthetic drug allergy, * Chronic pain, and coagulation disorders were excluded.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| US-guided ESPB and WI on postoperative pain | postoperative 1 hour, 3 hours, 12 hours, and 24 hours | Postoperative pain assessment was conducted in the recovery unit using the Numeric Rating Scale (NRS) with a scale of 0 (no pain) to 10 (worst pain imaginable). Standard postoperative intravenous analgesia included 75 mg of diclofenac sodium administered every 8 hours. In cases where NRS was ≥4, rescue analgesia was provided with 100 mg of intravenous tramadol. Anesthesia duration, surgical duration, NRS scores at postoperative 1 hour, 3 hours, 12 hours, and 24 hours, time to first analgesic, and total analgesic requirement in the first 24 hours were recorded. All side effects (hypotension, bradycardia, etc.) were documented. |
Countries
Turkey (Türkiye)
Outcome results
None listed