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It was proven that intrathecal opioids are considered as an effective means of pain control in several major surgical interventions including spine surgeries. Intrathecal morphine added to a spinal anesthesia reduces acute pain after spine surgeries but has side effects, including dose dependent respiratory depression, nausea, vomiting, pruritus, and sedation. Ultrasound guided Erector Spinae Plane Block (ESPB) was first described in 2016.Recent case reports suggest a positive effect of ultrasound guided ESPB on pain for multiple indications including lumbar spine fusion and scoliosis surgery, with a very low risk of complications as there are no structures in close proximity at risk of needle injury.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| General anesthesia and Ultrasound Guided Erector Spinae Plane Block | Active Comparator |
| |
| General anesthesia and intrathecal morphine | Active Comparator |
| |
| General anesthesia using intravenous fentanyl (1µg/kg) | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ultrasound Guided Erector Spinae Plane Block | Procedure | General anesthesia and Ultrasound Guided Erector Spinae Plane Block |
|
| Measure | Description | Time Frame |
|---|---|---|
| Time to first requested rescue analgesia (Minutes). | Time to first requested rescue analgesia (Minutes). | First 24 hours after surgery. |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ain-Shams University Hospitals | Cairo | Egypt |
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| Intrathecal morphine | Drug | General anesthesia and intrathecal morphine |
|
| General anesthesia using intravenous fentanyl (1µg/kg) | Other | General anesthesia using intravenous fentanyl (1µg/kg) |
|
| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
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