Postoperative Pain Management
Conditions
Keywords
Erector spinae region block, lumbar spine surgeries, opioid consumption, quadro iliac plane block, postoperative pain
Brief summary
COMPARISON OF THE EFFECTS OF ERECTOR SPINAE PLANE (ESP) BLOCK AND QUADRO İLİAC PLANE (QIP) BLOCK ON POSTOPERATIVE OPIOID CONSUMPTION AND PAIN IN LUMBAR SPINAL SURGERY
Detailed description
The study is designed as a double-blind, prospective, randomized controlled trial. Regarding blinding, the healthcare personnel responsible for monitoring postoperative pain will be unaware of whether the patients received an ESP block or a QIP block. Patient randomization was planned using a computer-based system. Following the operation, once patients are transferred to the postoperative recovery room, their pain levels will be assessed and recorded using the Numeric Rating Scale (NRS) at the following time points: 30 minutes, and 1, 6, 12, and 24 hours. In the ward, patients will receive tramadol via PCA and paracetamol every eight hours. Hourly NRS monitoring is planned during the patient's follow-up in the ward. If the NRS score reaches 4 or higher during this period, 75 mg of diclofenac sodium will be administered intramuscularly, and the number of self-administered bolus doses via PCA (Patient-Controlled Analgesia) within the first 24 hours will be recorded. Opioid consumption and pain levels (via NRS scores) will be evaluated at the 24th postoperative hour for patients in both the ESP and QIP block groups. Additionally, the patients' hemodynamic parameters will be recorded at these time intervals.
Interventions
DIAGNOSTIC_TESTNRS Score
An 11-point Numerical Rating Scale (NRS), where 0 indicated no pain and 10 represented the worst pain imaginable, was used to assess patients' pain levels.
DIAGNOSTIC_TESTtotal tramadol consumption
The total number of patient-controlled analgesia (PCA) bolus doses delivered within the first 24 hours will record
All patients in the ward will be administered intravenous paracetamol every 8 hours, and intramuscular diclofenac sodium (75 mg) if the NRS score is 4 or higher.
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
1. Undergoing elective lumbar spinal surgery 2. ASA I-III 3. Aged 18-75 years
Exclusion criteria
- 1. Refusal at the time of enrollment 2. Request to withdraw from the study 3. Inability to provide informed consent 4. Emergency surgery 5. Bleeding diathesis 6. Presence of contraindications to the local anesthetic (LA) agents used in this study 7. Chronic opioid use 8. Psychiatric disorders 9. Presence of infection at the injection site
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To compare the effects of the Quadro İliac Plane Block and the Erector Spinae Plane (ESP) Block on postoperative opioid consumption in lumbar spinal surgeries | 24 hour | All patients will be administered tramadol via PCA, and the amount of tramadol consumed will be assessed at the end of the 24-hour postoperative period. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| To compare the effects of the Quadro iliac (Qıp) block and the Erector Spinae Plane (ESP) block on postoperative pain in lumbar spinal surgeries | 12th hour | The NRS score will be assessed on a scale of 0 to 10, with 0 representing the lowest and 10 the highest value; patients will be asked to provide a rating at the 12th hour. |
Countries
Turkey (Türkiye)
Contacts
CONTACTSİNEM SARI PROF DR
Outcome results
None listed