Perioperative Bleeding, Opioid Consumption, Erector Spinae Plane Block, Spinal Stabilization
Conditions
Keywords
Spine Surgery, Regional Anesthesia, Blood Loss, Erector Spinae Plane Block
Brief summary
This study aims to evaluate the effects of ultrasound-guided bilateral erector spinae plane block on intraoperative pain control and bleeding in patients undergoing major spinal surgery. Participants will be randomly assigned to two groups: one group will receive the Erector Spinae Plane block, while the other group will receive standard pain management. Primary outcomes include postoperative pain levels and intraoperative blood loss. This study seeks to determine whether the Erector Spinae Plane Block technique positively contributes to patient recovery and reduces bleeding complications.
Detailed description
This randomized controlled trial investigates the effectiveness of ultrasound-guided bilateral Erector Spinae Plane Block on intraoperative opioid consumption and bleeding in patients undergoing spinal surgery. Eligible adult patients will be enrolled after obtaining informed consent. Participants will be randomly assigned to two groups: the intervention group will receive bilateral Erector Spinae Plane Block under ultrasound guidance before surgery, while the control group will receive standard pain management without the block. The Erector Spinae Plane Block will be performed using a standard dose of bupivacaine. The primary outcome measure is the amount of intraoperative bleeding. Secondary outcomes include opioid consumption and incidence of complications. This study aims to provide evidence on the efficacy of the Erector Spinae Plane Block technique in improving postoperative recovery and reducing bleeding complications in major spinal surgeries.
Interventions
Patients in this group will receive an ultrasound-guided erector spinae plane block 30 minutes before surgery. A total volume of bupivacaine will be injected bilaterally into the fascial plane between the erector spinae muscle and the transverse process. All patients will also receive standard postoperative analgesia.
Sponsors
Diskapi Yildirim Beyazit Education and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
Participants and outcome assessors will be blinded to group assignments. An anesthesiologist not involved in postoperative data collection will perform the Erector Spinae Plane Block.
Intervention model description
Participants will be randomly assigned to receive either ultrasound-guided Erector Spinae Plane Block or no block prior to lumbar spinal stabilization surgery.
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* Patients aged 18 years or older Scheduled for elective spinal stabilization surgery American Society of Anesthesiologists (ASA) physical status I-III Provided written informed consent
Exclusion criteria
Coagulopathy or current anticoagulant therapy Anatomical barrier or infection at the Erector Spinae Plane Block site Known allergy to local anesthetics or opioids \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intraoperative estimated blood loss | During surgery | Intraoperative estimated blood loss (milliliters) Total amount of blood lost during surgery will be measured in milliliters. \[Time Frame: During surgery\] |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Total intraoperative remifentanil consumption | During surgery | The total dose of remifentanil administered intraoperatively (in micrograms) will be recorded by the anesthesia team. |
Countries
Turkey (Türkiye)
Outcome results
None listed