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The analgesic efficacy of different volumes in ESPB patients undergoing single-level lumbar spine fixation
The erector spinae plane block (ESPB) its an interfacial plane block for an effective treatment for thoracic neuropathic pain. Currently, compared to the use of opioids, the ESPB has fewer side effects and is safe for patients of all ages having abdominal and thoracic operations .
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Erector 10 | Experimental | Received 10ml of preoperative bilateral ultrasound guided ESPB by bupivacaine 0.25% on each side |
|
| Erector 15 | Experimental | Received 15ml of preoperative bilateral ultrasound guided ESPB by bupivacaine 0.25% on each side |
|
| Erector 20 | Experimental | Received 20ml of preoperative bilateral ultrasound guided ESPB by bupivacaine 0.25% on each side |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bupivacaine 0.25% Injectable Solution | Drug | Bilateral ultrasound guided in erector spinae plane block by bupivacaine 0.25% |
|
| Measure | Description | Time Frame |
|---|---|---|
| Total morphine consumption | Patients were allowed to receive incremental doses of morphine 3mg intravenously if numerical rating scale pain score will be ≥ then the total amount of morphine will be recorded | First 24 hours postoperatively |
| Measure | Description | Time Frame |
|---|---|---|
| Numerical rating scale | Postoperative pain using numerical rating scale (NRS) will be measured at post-anesthesia care unit, from 0 to 10, with 0 representing no pain and 10 representing maximum intolerable pain | Up to 48 hours postoperatively |
| Time to the first rescue analgesic |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kafrelsheikh University | Kafr ash Shaykh | Kafrelsheikh | 33516 | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40890575 | Derived | Algyar MF, Zahra AA, Elshikhali AS, Abdelhameed EA, El Hefny DA, Moharam SA, ElSharkawy MS, Farghaly OS, Ahmed MA. Analgesic efficacy of different volumes in erector spinae plane block in patients undergoing single level lumbar spine fixation: a non-inferiority randomized trial. BMC Anesthesiol. 2025 Sep 1;25(1):439. doi: 10.1186/s12871-025-03247-z. |
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The data will be available upon a reasonable request from the corresponding author after the end of study for one year.
The data will be available after the end of study for one year.
The data will be available upon a reasonable request from the corresponding author.
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| ID | Term |
|---|---|
| D000377 | Agnosia |
| ID | Term |
|---|---|
| D010468 | Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D002045 | Bupivacaine |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
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If numerical rating scale >4 was observed, rescue analgesia (morphine 3 mg IV) was administered |
| Up to 24 hours postoperatively |
| Postoperative complications | postoperative nausea and vomiting (PONV), hypotension (mean arterial pressure < 20% of baseline readings and was managed by ephedrine 5 mg IV and/or normal saline IVI), bradycardia (heart rate < 60 beats/min and was managed by atropine 0.6 mg IV). | Up to 24 hours postoperatively |
| 5-point scale | The degree of patient satisfaction was assessed on a 5-point scale: (0= extremely dissatisfied, 1= unsatisfied, 2= neither satisfied nor unsatisfied, 3= satisfied), and 4= extremely satisfied). | Up to 24 hours postoperative |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D000588 |
| Amines |