The Effect of Erector Spina Plan Block Application Time on Postoperative Anxiety

The Effect of Erector Spina Plan Block Application Time on Postoperative Anxiety in Cases of Lumbar Disc Hernioplasty

we aimed to compare the effect of preoperative awake or post-induction erector spina plane block on patient anxiety and recovery quality in patients who will undergo elective lumbar disc hernioplasty.

Postoperative recovery quality can be tested with the Quality of Recovery-40 (QoR-40) questionnaire. Preoperative anxiety can be detected through structured and standardized screening with the State-Trait Anxiety Inventory (STAI) I and II. In our study, 108 patients between the ages of 18-70 who were planned for lumbar disc hernioplasty will be included. Preoperative Quality of Recovery-40 (QoR40), STAI I and II scores (anxiety questionnaire) will be administered to each patient.The patients will be divided into two groups as preoperative ve intraoperative group. Erector spina plane block will be applied to preoperative group patients in the preoperative period. In the intraoperative group, erector spina plane block will be applied after anesthesia induction. The STAI and Quality of Recovery-40 (QoR40) questionnaire will be repeated postoperatively, the Numerical Rating Scale (NRS) and postoperative patient satisfaction will be measured.

Inclusion Criteria:

• 18-70 years old
• American Society of Anesthesiologists score I-II-III
• Patients who can read and write
• Can speak Turkish language clearly

Exclusion Criteria:

• Visual and hearing impaired
• Those with dementia
• Known serious heart, kidney and liver diseases
• Life-threatening hematological diseases
• Central and peripheral neurological diseases
• Psychiatric disorders
• History of allergy to amide type local anesthetics
• Infection in the block area
• Bleeding diathesis
• Morbidly obese (patients with BMI 40 and above)
• A history of narcotic drug use within 24 hours before the operation
• Those with narcotic substance and alcohol addiction related to chronic pain
• Patients who refused to participate in the study