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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| preoperative group | Active Comparator | Erector spina plane block will be applied to preoperative group patients in the preoperative period. |
|
| intraoperative group | Active Comparator | In the intraoperative group, erector spina plane block will be applied after anesthesia induction. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| preoperative erector spina plane block | Other | Erector spina plane block will be applied to preoperative group patients in the preoperative period. |
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| Measure | Description | Time Frame |
|---|---|---|
| The quality of postoperative functional recovery (QoR-40) score | The quality of postoperative functional recovery will assess using the QoR-40, which assesses physical comfort (12 items), emotional state (9 items), physical independence (5 items), psychological support (7 items), and pain (7 items). Each item is rated on a 5-point Likert scale: none of the time, some of the time, usually, most of the time, and all the time. The total score ranges from 40 (poorest quality of recovery) to 200 (the best quality of recovery). The QoR-40 will administer one day before surgery in outpatient clinics of anesthesiology, and before discharge from hospital on the first postoperative day. | 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Spielberg State-Trait Anxiety Inventory (STAI) score | The test scores between 20 and 80, with higher scores indicating more generalized and stronger anxiety. Preoperative and postoperative STAI I score questions will be asked. | 4 hours |
| Numerical Rating Scale (NRS) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| fulya eser çelik | Contact | 03125526000 | 731039 | lfulyaeser@hotmail.com |
| fatma kavak akelma | Contact | 03125526000 | 731039 | fatmakavak@yahoo.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ankara City Hospital | Ankara | Turkey (Türkiye) |
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| intraoperative erector spina plane block | Other | In the intraoperative group, erector spina plane block will be applied after anesthesia induction. |
|
11-point numerical rating scale for pain (0='no pain' and 10='worst pain possible pain') were explained. |
| 24 hours |