Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This study aims to evaluate the effects of ultrasound-guided bilateral erector spinae plane block on intraoperative pain control and bleeding in patients undergoing major spinal surgery. Participants will be randomly assigned to two groups: one group will receive the Erector Spinae Plane block, while the other group will receive standard pain management. Primary outcomes include postoperative pain levels and intraoperative blood loss. This study seeks to determine whether the Erector Spinae Plane Block technique positively contributes to patient recovery and reduces bleeding complications.
This randomized controlled trial investigates the effectiveness of ultrasound-guided bilateral Erector Spinae Plane Block on intraoperative opioid consumption and bleeding in patients undergoing spinal surgery. Eligible adult patients will be enrolled after obtaining informed consent.
Participants will be randomly assigned to two groups: the intervention group will receive bilateral Erector Spinae Plane Block under ultrasound guidance before surgery, while the control group will receive standard pain management without the block. The Erector Spinae Plane Block will be performed using a standard dose of bupivacaine.
The primary outcome measure is the amount of intraoperative bleeding. Secondary outcomes include opioid consumption and incidence of complications.
This study aims to provide evidence on the efficacy of the Erector Spinae Plane Block technique in improving postoperative recovery and reducing bleeding complications in major spinal surgeries.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Erector Spinae Plane Block Group | Experimental | Participants in this group received an ultrasound-guided Erector Spinae Plane Block preoperatively as part of multimodal analgesia. |
|
| Control Group | No Intervention | Participants in this group did not receive a preoperative regional anesthesia block. Standard postoperative analgesic protocols were used. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ultrasound-guided erector spinae plane block | Procedure | Patients in this group will receive an ultrasound-guided erector spinae plane block 30 minutes before surgery. A total volume of bupivacaine will be injected bilaterally into the fascial plane between the erector spinae muscle and the transverse process. All patients will also receive standard postoperative analgesia. |
| Measure | Description | Time Frame |
|---|---|---|
| Intraoperative estimated blood loss | Intraoperative estimated blood loss (milliliters) Total amount of blood lost during surgery will be measured in milliliters. [Time Frame: During surgery] | During surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Total intraoperative remifentanil consumption | The total dose of remifentanil administered intraoperatively (in micrograms) will be recorded by the anesthesia team. | During surgery |
Not provided
Inclusion Criteria:
Scheduled for elective spinal stabilization surgery
American Society of Anesthesiologists (ASA) physical status I-III
Provided written informed consent
Exclusion Criteria: Coagulopathy or current anticoagulant therapy
Anatomical barrier or infection at the Erector Spinae Plane Block site
Known allergy to local anesthetics or opioids
-
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Funda Atar, MD | Ankara Etlik City Hospital | Principal Investigator |
| Derya Özkan, prof | Ankara Etlik City Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Etlik city hospital | Ankara | Turkey (Türkiye) |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D006470 | Hemorrhage |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
Not provided
Not provided
Participants will be randomly assigned to receive either ultrasound-guided Erector Spinae Plane Block or no block prior to lumbar spinal stabilization surgery.
Not provided
Not provided
Participants and outcome assessors will be blinded to group assignments. An anesthesiologist not involved in postoperative data collection will perform the Erector Spinae Plane Block.
|