Postoperative Quality of Recovery and Pain Management
Conditions
Keywords
wound local anesthetic infiltration, Erector Spinae Area (ESP) Block, quality of postoperative recovery, lumbar spinal surgeries
Brief summary
Comparison of the Effects of Local Anesthetic Infiltration and Erector Spinae Plan (ESP) Block on Postoperative Recovery Quality and Pain in Lumbar Spinal Surgery
Detailed description
The study was designed as a double-blind, prospective randomized controlled study. Blindness; healthcare professionals who will monitor the patient's pain in the postoperative period will not know whether ESP or wound local anesthetic infiltration block was applied. Randomization of the patients was planned to be done using computer support. It was planned to include 44 participants in the ESP block and wound local anesthetic infiltration groups. The current pain status of the patients in the ESP block and wound local anesthetic infiltration groups in the postoperative period will be evaluated with NRS (Numerical rating scale) at certain time intervals (30th min, 1st, 6th, 12th, 24th hour) during rest and movement. When the patients' NRS scores are 4 and above, intravenous analgesic will be administered additionally and the number of bolus doses of the patients with PCA in the first 24 hours will be recorded. The recovery quality of the patients who underwent both ESP block and RLB block at the postoperative 24th hour will be evaluated with the scoring system (QoR-40). Additionally, the patients' hemodynamic values will be recorded during these intervals.
Interventions
DIAGNOSTIC_TESTQor-40 test (The recovery quality test)
Scale of postoperative recovery quality at first 24th hour. Minimum score is 40=bad ,maximum score is 200=good
OTHERCalculation of postoperative opioid consumption
Postoperative opioid consumptions on the pca (patient controlled analgesia) device of the patients will be recorded in Postoperative 30.min,1.,6.,12.,24. Opioid consumptions on the pca device of the patients will be recorded in 30.min,1.,6.,12.,24. hours.
Sponsors
Aydin Adnan Menderes University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Caregiver)
Intervention model description
The study was designed as a double-blind, prospective randomized controlled trial.
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Elective lumbar 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 |
|---|---|---|
| Qor-40 test (The recovery quality test) | 24th hour | scale of postoperative recovery quality at first 24th hour. Minimum score is 40=bad ,maximum score is 200=good |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative opioid consumption | 30 minutes,1st hour,6th hour,12th hour and 24th hour | Postoperative opioid consumptions on the pca (patient controlled analgesia) device of the patients will be recorded in Postoperative 30.min,1.,6.,12.,24. Opioid consumptions on the pca device of the patients will be recorded in 30.min,1.,6.,12.,24. hours. |
Countries
Turkey (Türkiye)
Outcome results
None listed