Anterior Cervical Discectomy, Cervical Disc Herniation, Postoperative Pain, Postoperative Pain Management, Serratus Posterior Superior Intercostal Plane Block
Conditions
Keywords
postoperative pain, regional anesthesia, opioid free analgesia, ibuprofen, Serratus Posterior Superior Intercostal Plane Block
Brief summary
Anterior cervical discectomy is an operation performed for complaints of pain, numbness or loss of strength due to cervical disc disease. With this operation, pressure due to herniation on the upper neck area, spinal cord or nerve roots is relieved. It is performed by microscopic method from the front of the neck. Nerve blocks reduces opioid consumption in the postoperative period by providing better pain control and therefore has advantages such as fewer side effects and less risk of pulmonary and cardiac complications. In this study; it was aimed to compare the analgesic effectiveness of serratus posterior superior intercostal plane block and erector spinae plane block, and with the control group in the postoperative period in patients who underwent anterior cervical discectomy.
Interventions
PROCEDUREThe group treated with intravenous analgesics
In the postoperative period a ibuprofen dose of 400 mg every 8 hours were administered iv for multimodal analgesia
PROCEDURESerratus posterior superior intercostal plane block
Serratus posterior superior intercostal plane block will be performed on the patients using 30 ml of 0.25% bupivacaine under ultrasound guidance.Additionally, in the postoperative period a paracetamol dose of 1 g every 8 hours and a dexketoprofen dose of 50 mg twice daily were administered iv for multimodal analgesia.
Sponsors
Cumhuriyet University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Adult patients over 18 years of age who underwent percutaneous nephrolithotomy under general anesthesia and were I-II-III according to the American Society of Anesthesiologists (ASA) risk classification were included in the study.
Exclusion criteria
* patients who did not give consent, * patients with coagulopathy, * patients with signs of infection at the block application site, * patients using anticoagulants, * patients with known allergies to any of the study drugs, * patients with unstable hemodynamics, * patients who could not cooperate during postoperative pain assessment * patients who wanted to withdraw from the study, * patients with alcohol and drug addiction, * patients with musculoskeletal abnormalitie
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numeric Rating Scale (NRS) Scores | Postoperative 24 hours | Numerical rating scale is used for pain assessment. The scores of the numerical rating scale changes between 0 to 10 points. 10 points mean "the most severe pain that the patient ever had". 0 point means "there is no pain." Higher scores mean worse outcome. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Total tramadol consumption | Postoperative 24 hours | Postoperative total analgesic need was recorded as "milligram" in unit. |
| Quality of Recovery scores | Postoperative 24 hours | Quality of recovery-15 (QoR15) scale was used for the assessment of patients satisfaction. The scores of QoR15 changes between 0 to 150 points. 0 point means "there is no satisfaction." Higher scores mean indicating a good quality of recovery and better outcome. |
Countries
Turkey (Türkiye)
Contacts
PRINCIPAL_INVESTIGATORONUR AVCI
Sivas Cumhuriyet University School of Medicine, Anesthesiology and Reanimation
STUDY_CHAIRZEYNEP M DEMİRCİ
Sivas Cumhuriyet University School of Medicine, Anesthesiology and Reanimation
Outcome results
None listed