Patients with cervical myelopathy who required ACDF surgery. cervical plexus block, multimodal analgesia, postoperative pain control, ACDF surgery.
Conditions
Interventions
In this group, patients will receive intermediate cervical plexus block under ultrasound guidance for
pain control together in addition to other standard analgesic regimen.,In this group, cervical ple
Experimental Procedure/Surgery,No Intervention No treatment
CPB group,Control group
Sponsors
Faculty of Medicine, Khon Kaen University
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Patients who plan to undergo 1-3 levels ACDF surgery 2. Age over 18 years 3. ASA physical status 1-3
Exclusion criteria
Exclusion criteria: 1. Refuse to participate 2. Require iliac bone graft harvesting 3. Coagulopathy 4. Allergy to study drugs; paracetamol, fentanyl, morphine, naproxen, or ropivacine 5. Cervical plexus block contraindications include skin infection at the block site, coagulopathy, previous neck surgery, neck radiation, contralateral phrenic nerve paralysis, and patients with severe COPD or other severe respiratory compromises. 6. Inability to cooperate, communicate, or report pain scores.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| postoperative morphine consumption at PACU, 6h, 12h,24h and 48h total morphine consumption (mg) from IV PCA device | — |
Secondary
| Measure | Time frame |
|---|---|
| postoperative pain score at PACU, 6h, 12h, 24h, and 48h Numeric rating pain score (patient self-report their pain intensity using 11-point scale from 0-10) | — |
Countries
Thailand
Contacts
Public ContactIntuorn Artphom
Faculty of Medicine, Khon Kaen University
Outcome results
None listed