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Erector Spinae Area (ESP) Block and Mid-Transverse Process to Pleura Block(MTP) have recently been described for the treatment of pain after lumbar spinal surgery. Although these blocks have been shown to be effective in the treatment of pain after lumbar spinal surgery when compared with postoperative pain, they have not been compared in terms of the quality of recovery and opioid consumption after lumbar spinal surgery.
The aim of this clinical trial is to compare the effects of Erector Spinae Area (ESP) Block and Mid-Transverse Process to Pleura Block(MTP) on quality of recovery and opioid consumption in patients scheduled for lumbar spinal surgery. The effects of the 2 blocks on postoperative pain will also be compared and recorded.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| esp block | Active Comparator |
| |
| mtp block | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Numeretic rating scale (NRS) | Diagnostic Test | NRS is a pain intensity determination system based on the person being asked to describe their pain on a scale of 0 (none), 10 (unbearable pain) and a point between. |
| Measure | Description | Time Frame |
|---|---|---|
| postoperative opioid consumption | The patient will be administered tramadol PCA every eight hours and recorded. | PCA results will be recorded at the 1st, 6th, 12th, 24th hours postoperatively. |
| Measure | Description | Time Frame |
|---|---|---|
| quality of recovery | The quality of recovery (QoR-40) of patients who underwent both ESP block and MTP block at the 24th hour postoperatively will be evaluated with a scoring system. | 24 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sinem Sarı, Prof Dr | Contact | 90 256 220 2108 | sarisinem@yahoo.com |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32955601 | Result | Eskin MB, Ceylan A, Ozhan MO, Atik B. Ultrasound-guided erector spinae block versus mid-transverse process to pleura block for postoperative analgesia in lumbar spinal surgery. Anaesthesist. 2020 Oct;69(10):742-750. doi: 10.1007/s00101-020-00848-w. Epub 2020 Sep 21. |
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Blind patients and postoperative follow-ups will not know which group the patient is in the study. Randomization will be done with computer support.
| Quality of Results (QoR-40) | Diagnostic Test | Several rating scales have been developed to measure quality of recovery after surgery and anaesthesia, but the most extensively used is the QoR-40, a 40-item questionnaire that provides a global score and subscores across five dimensions: patient support, comfort, emotions, physical independence, and pain. |
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| Opioid consuption | Other | Opioid consuption will be recorded from PCA |
|