About this trial
This study aims to evaluate the efficacy of ultrasound-guided Sacral Erector Spinae Plane (ESP) block for postoperative analgesia management in patients undergoing pilonidal sinus surgery under general anesthesia
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients scheduled for elective pilonidal sinus surgery.
ASA physical status I and II
Disqualifiers
Allergy or sensitivity to local anesthetics or opioid drugs.
Infection at the block site.
Alcohol or drug addiction.
Use of anticoagulant agents.
Trial design
Parallel
Treatments tested in this trial
Sacral Erector Spinae Plane Block
Procedure/SurgeryImmediately after the surgical procedure and before extubation, ultrasound-guided (Vivid Q) Sacral ESPB will be applied to the patient in the prone position using a total volume of 20 ml.
Standard Postoperative Analgesia
DrugNo block will be applied to this group. Both groups will receive intravenous 400 mg ibuprofen and 100 mg tramadol 20 minutes before the end of the surgery, and routine 1000 mg paracetamol every 8 hours postoperatively
Treatment groups
Trial outcomes
Primary outcomes
Total postoperative rescue analgesic (opioid) consumption.
Total amount of intravenous tramadol administered as a rescue analgesic will be recorded
Secondary outcomes
Postoperative pain scores evaluated by the Numeric Rating Scale (NRS)
Pain scores will be evaluated at rest and during movement using a 0-10 NRS (0= no pain, 10= most severe pain).
Incidence of opioid-related side effects and block-related complications.
Occurrence of side effects such as nausea, vomiting, itching, allergic reactions, and complications like hematoma will be recorded.
Sponsors and contacts
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