Ignite Creation Date:
2024-07-17 @ 11:00 AM
Last Modification Date:
2024-10-26 @ 3:33 PM
Study NCT ID:
NCT06477198
Status:
RECRUITING
Last Update Posted:
2024-06-27
First Post:
2024-06-13
Brief Title:
QLB vs ESPB for Lumbar Spinal Surgery
Sponsor:
Medipol University
Organization:
Medipol University
Study Overview
Official Title:
Posterior Quadratus Lumborum Block vs Erector Spinae Plane Plane Block for Pain Management After Lumbar Spinal Surgery
Status:
RECRUITING
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Ultrasound-guided quadratus lumborum block QLB is a fascial plane block where local anesthetic is injected adjacent to the quadratus lumborum muscle to anesthetize the thoracolumbar nerves
The ultrasound US guided erector spina plane block ESPB is a novel interfacial plan block defined by Forero et al at 2016 Visualization of sonoanatomy with US is easy and the spread of local anesthesic agents can be easily seen under the erector spinae muscle Thus analgesia occurs in several dermatomes with cephalad-caudad way It has been reported that ESPB provides lumbar analgesia at T10-12 L3
This study aims to compare US-guided ESPB and posterior QLB for postoperative analgesia management after lumbar disc herniation-laminectomy surgery
The ultrasound US guided erector spina plane block ESPB is a novel interfacial plan block defined by Forero et al at 2016 Visualization of sonoanatomy with US is easy and the spread of local anesthesic agents can be easily seen under the erector spinae muscle Thus analgesia occurs in several dermatomes with cephalad-caudad way It has been reported that ESPB provides lumbar analgesia at T10-12 L3
This study aims to compare US-guided ESPB and posterior QLB for postoperative analgesia management after lumbar disc herniation-laminectomy surgery
Detailed Description:
Spine surgery in thoracolumbar region is one of the most common surgeries performed for the treatment of leg and back pain Pain management is especially important for these patients since chronic pain often occurs after surgery Severe pain may occur at postoperative period in patients following lumbar disc herniation LDH operation Postoperative effective pain treatment provides early mobilization and shorter hospital stay thus complications due to hospitalization such as infection and thromboembolism may be reduced
Opioids are one of the most preferred drugs among the analgesic agents Parenteral opioids are generally performed for patients after surgery However opioids have undesirable adverse events such as nausea vomiting itching sedation and respiratory depression opioid-related adverse events
Various methods may be performed to reduce the use of systemic opioids and for effective pain treatment US-guided interfascial plane blocks have been used increasily due to the advantages of ultrasound in anesthesia practice Ultrasound-guided quadratus lumborum block QLB is a fascial plane block where local anesthetic is injected adjacent to the quadratus lumborum muscle to anesthetize the thoracolumbar nerves
The ultrasound US guided erector spina plane block ESPB is a novel interfacial plan block defined by Forero et al at 2016 The ESPB contains a local anesthetic injection into the deep fascia of erector spinae This area is away from the pleural and neurological structures and thus minimizes the risk of complications due to injury Visualization of sonoanatomy with US is easy and the spread of local anesthetic agents can be easily seen under the erector spinae muscle Thus analgesia occurs in several dermatomes with cephalad-caudad way Cadaveric studies have shown that the injection spreads to the ventral and dorsal roots of the spinal nerves ESPB provides thoracic analgesia at the T5 level abdominal analgesia at the T7-9 level and lumbar analgesia at T10-12 L3 level In the literature it has been reported that ESPB provides effective analgesia after lumbar spine surgery
This study aims to compare US-guided posterior QLB block and ESPB for postoperative analgesia management after lumbar disc herniation-laminectomy surgery The primary aim is to compare postoperative pain scores NRS the secondary aim is to evaluate postoperative opioid consumption motor block and adverse effects related to opioids allergic reaction nausea vomiting
Opioids are one of the most preferred drugs among the analgesic agents Parenteral opioids are generally performed for patients after surgery However opioids have undesirable adverse events such as nausea vomiting itching sedation and respiratory depression opioid-related adverse events
Various methods may be performed to reduce the use of systemic opioids and for effective pain treatment US-guided interfascial plane blocks have been used increasily due to the advantages of ultrasound in anesthesia practice Ultrasound-guided quadratus lumborum block QLB is a fascial plane block where local anesthetic is injected adjacent to the quadratus lumborum muscle to anesthetize the thoracolumbar nerves
The ultrasound US guided erector spina plane block ESPB is a novel interfacial plan block defined by Forero et al at 2016 The ESPB contains a local anesthetic injection into the deep fascia of erector spinae This area is away from the pleural and neurological structures and thus minimizes the risk of complications due to injury Visualization of sonoanatomy with US is easy and the spread of local anesthetic agents can be easily seen under the erector spinae muscle Thus analgesia occurs in several dermatomes with cephalad-caudad way Cadaveric studies have shown that the injection spreads to the ventral and dorsal roots of the spinal nerves ESPB provides thoracic analgesia at the T5 level abdominal analgesia at the T7-9 level and lumbar analgesia at T10-12 L3 level In the literature it has been reported that ESPB provides effective analgesia after lumbar spine surgery
This study aims to compare US-guided posterior QLB block and ESPB for postoperative analgesia management after lumbar disc herniation-laminectomy surgery The primary aim is to compare postoperative pain scores NRS the secondary aim is to evaluate postoperative opioid consumption motor block and adverse effects related to opioids allergic reaction nausea vomiting
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None