Patients undergoing spine surgery frequently experience significant pain after surgery. This can limit patient activity and hinder rehabilitation. If inadequately treated, severe pain can result in emotional and psychological distress and ultimately impact long-term function, and increase the risk of developing pain that lasts longer than six months associated with depression, anxiety and disability.
More specifically, Erector Spinae Plane (ESP) block is a recently described plane block designed to block the dorsal and ventral rami of the thoracic spinal nerves. It has shown to be an effective modality for postoperative pain management as a part of multimodal analgesia in spinal surgery.
None
In patients who are allergic to local anesthetics.
ASA IV patients
Lack of informed consent
Pregnant patient.
Parallel
Erector Spinae (ESP) Block with Lidocaine/Bupivacaine
DrugBilateral ESP block at T1 level with 20 ml of 1:1 mixture (2% Lidocaine: 0.5% bupivacaine)
Erector Spinae (ESP) Block with placebo
DrugBilateral ESP block at T1 level with 20 ml of 0.9% normal saline
Quality of Recovery 40 Questionnaire
the global Quality of Recovery-40 aggregate score is a scale from (1 to 5, where: 1 = very poor and 5 = excellent)
Postoperative pain
is a visual analog scale from (1 to 10, where: 1 is the mildest and 10 the worst possible)
Opioids consumption
Patient Opioid/Non-Opioid Pain Medications Diary Card After Surgery
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