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Aim of this study was to assess the efficacy of erector spinae plane block (ESB) for postoperative pain management in lumbar spine surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| erector spinae block group (E) | Experimental | patients will receive bilateral ultrasound guided erector spinae block before the lumbar spine surgery starts.(20ml of bupivacaine 0.25%) after receiving general anesthesia |
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| control group (C) | No Intervention | patients will receive standard general anesthesia for lumbar spine surgery according to hospital protocol. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| erector spinae block for group E | Procedure | . The patient will be placed in the prone position. A high-frequency linear probe or a curved array probe, depending on the BMI of the patient, will be placed in longitudinal alignment, 2-3cm lateral to the vertebral column. The transverse processes of the vertebrae at the level of surgery, the erector spinae muscle, and the psoas muscle will be identified. A 5- or 8-cm 22-G ultrasound needle will be inserted with an in-plane technique in a cephalad-to-caudal direction until bone contact with the top of the transverse process is reached. After slight retraction of the needle, 20ml of bupivacaine 0.25% will be injected behind the erector spinae muscle. The same procedure will be repeated on the contralateral side. |
| Measure | Description | Time Frame |
|---|---|---|
| the postoperative 24 hours morphine consumption | the analgesic effect of erector spine block will be assessed postoperative by numeric rating scale (NRS), if NRS is more than 3 the patient will receive a rescue dose of 5 milligrams of morphine | 24 hours postoperative |
| Measure | Description | Time Frame |
|---|---|---|
| Mean Blood pressure in mmHg | Measure mean blood pressure of patients postoperative every 4 hours | 24 hours postoperative |
| Heart rate | Measure heart of the patients postoperative every 4 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| amgad A hamdi, MSc | Contact | 01002400389 | +2 | amgadhamdi@med.asu.edu.eg |
| Name | Affiliation | Role |
|---|---|---|
| ossama mansour, professor | faculty of medicine , ain shams university | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ain Shams University | Recruiting | Cairo | 11591 | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31033625 | Background | Singh S, Choudhary NK, Lalin D, Verma VK. Bilateral Ultrasound-guided Erector Spinae Plane Block for Postoperative Analgesia in Lumbar Spine Surgery: A Randomized Control Trial. J Neurosurg Anesthesiol. 2020 Oct;32(4):330-334. doi: 10.1097/ANA.0000000000000603. |
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| ID | Term |
|---|---|
| C535531 | Intervertebral disc disease |
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| 24 hours postoperative |
| Patient satisfaction | Measure patient satisfaction by asking the patient if he is satisfied or not " yes or no" | 24 hours postoperative |
| First time of mobilization to a chair | Measure the time to first mobilization to a chair in minutes | 24 hours postoperative |