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Comparison of the Postoperative Analgesic Efficacy of SPSIPB and ESPB in Anterior Cervical Discectomy

ConditionsAnterior Cervical DiscectomyPeripheral Nerve BlockPain Management
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-80
SponsorAnkara Etlik City Hospital

About this trial

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, with each other and with the control group in the postoperative period in patients who underwent anterior cervical discectomy.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients aged 18-80 years

American Society of Anesthesiologists (ASA) score I-II-III

Body Mass Index (BMI) between 18-30 kg/m2

Disqualifiers

Patients under 18 and over 80 years of age

ASA score IV and above

Patients with a history of bleeding diathesis

BMI below 18 or above 30 kg/m2

Trial design

Design model

Parallel

Treatments tested in this trial

  • Serratus posterior superior intercostal plane block

    Procedure/Surgery

    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.

  • Erector spinae plane block

    Procedure/Surgery

    Erector spinae 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.

  • Group without peripheral nerve block

    Procedure/Surgery

    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.

Treatment groups

85 Participants
are divided into 3 treatment groups
Group A: Serratus posterior superior intercostal plane blockActive comparator 1 intervention
Group B: Erector spinae plane blockActive comparator 1 intervention
Group C: Group without peripheral nerve blockActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Pain Scores

Pain will be assessed at rest and while coughing using the visual analog scale on a scale from 0 (no pain) to 10 (worst pain). Pain assessment will be done at 0st, 1st, 2nd,4th, 12th, and 24th hours after surgery.

Time frame
On the operation day

Secondary outcomes

1

Intraoperative remifentanil consumption Intraoperative opioid consumption

Remifentanil consumption for intraoperative period will be recorded

Time frame
Intraoperative period
2

Postoperative Tramadol Consumption

Tramadol consumption for 24 hours will be recorded

Time frame
On the operation day

Other outcomes

Sponsors and contacts

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Ankara Etlik City Hospital

Lead sponsor

Source ClinicalTrials.gov
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