Single- Versus Two-Level ESP Block for Analgesia After Lumbar Stabilization Surgery

ConditionsPostoperative Pain Management Lumbar Spinal Fusion Surgery Erector Spina Plan Block

Trial statusNot yet recruiting

Trial phaseNot applicable

Trial typeInterventional

Biological sexAll

Age18-80

SponsorAnkara Etlik City Hospital

About this trial

Lumbar stabilization surgery is commonly associated with moderate to severe postoperative pain. Effective pain control is important to improve patient comfort, early mobilization, and recovery. The erector spinae plane (ESP) block is a regional anesthesia technique that has been increasingly used for postoperative pain management in spine surgery.

This study aims to compare the effectiveness of single-level versus two-level ultrasound-guided ESP block for postoperative pain control in patients undergoing lumbar stabilization surgery. Patients will be randomly assigned to receive either a single-level ESP block or a two-level ESP block in addition to standard analgesic treatment.

Postoperative pain scores, opioid consumption, and the incidence of side effects will be evaluated during the postoperative period. The results of this study may help determine the most effective ESP block technique for pain management after lumbar stabilization surgery.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

ASA I-II-III,

BMI:18-40,

Patients undergoing lumbar stabilization surgery involving 2 to 4 vertebral levels

Patients who personally provide written informed consent to participate in the study

Disqualifiers

Patients with chronic pain conditions

Patients with a history of chronic opioid use

Patients undergoing emergency lumbar stabilization surgery

Trial design

Design model

Parallel

Treatments tested in this trial

Single-Level Erector Spinae Plane Block
Procedure/Surgery
Ultrasound-guided erector spinae plane block performed at a single vertebral level for postoperative analgesia.
Two-Level Erector Spinae Plane Block
Procedure/Surgery
Ultrasound-guided erector spinae plane block performed at two adjacent vertebral levels for postoperative analgesia.

Treatment groups

60 Participants

are divided into 2 treatment groups

Group A: Single Level Erector Spinae Plane BlockActive comparator 1 intervention

Group B: Two Level Erector Spinae Plane BlockActive comparator 1 intervention

Trial outcomes

Primary outcomes

Intraoperative Remifentanyl Consumption

The amount of Remifentanyl that patients need to maintain anesthesia during the intraoperative period will be recorded

Time frame

During the intraoperative period

Secondary outcomes

Pain Scores

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

Time frame

First 24 hours after surgery

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Ankara Etlik City Hospital

Lead sponsor

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: