Erector Spinae Area (ESP) Block and Mid-Transverse Process to Pleura Block(MTP) have recently been described for the treatment of pain after lumbar spinal surgery. Although these blocks have been shown to be effective in the treatment of pain after lumbar spinal surgery when compared with postoperative pain, they have not been compared in terms of the quality of recovery and opioid consumption after lumbar spinal surgery.
The aim of this clinical trial is to compare the effects of Erector Spinae Area (ESP) Block and Mid-Transverse Process to Pleura Block(MTP) on quality of recovery and opioid consumption in patients scheduled for lumbar spinal surgery. The effects of the 2 blocks on postoperative pain will also be compared and recorded.
Elective Lumbar Spinal surgery performed
ASA I-III
18-75 years old
Refusal at enrollment
Request for withdrawal from the study
Inability to give informed consent
Emergency surgery
Parallel
Numeretic rating scale (NRS)
Diagnostic testNRS is a pain intensity determination system based on the person being asked to describe their pain on a scale of 0 (none), 10 (unbearable pain) and a point between.
Quality of Results (QoR-40)
Diagnostic testSeveral rating scales have been developed to measure quality of recovery after surgery and anaesthesia, but the most extensively used is the QoR-40, a 40-item questionnaire that provides a global score and subscores across five dimensions: patient support, comfort, emotions, physical independence, and pain.
Opioid consuption
Other interventionOpioid consuption will be recorded from PCA
postoperative opioid consumption
The patient will be administered tramadol PCA every eight hours and recorded.
quality of recovery
The quality of recovery (QoR-40) of patients who underwent both ESP block and MTP block at the 24th hour postoperatively will be evaluated with a scoring system.
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