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Lumbar stabilization surgery is commonly associated with moderate to severe postoperative pain. Effective pain control is important to improve patient comfort, early mobilization, and recovery. The erector spinae plane (ESP) block is a regional anesthesia technique that has been increasingly used for postoperative pain management in spine surgery.
This study aims to compare the effectiveness of single-level versus two-level ultrasound-guided ESP block for postoperative pain control in patients undergoing lumbar stabilization surgery. Patients will be randomly assigned to receive either a single-level ESP block or a two-level ESP block in addition to standard analgesic treatment.
Postoperative pain scores, opioid consumption, and the incidence of side effects will be evaluated during the postoperative period. The results of this study may help determine the most effective ESP block technique for pain management after lumbar stabilization surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Single Level Erector Spinae Plane Block | Active Comparator | Participants in this arm will receive an ultrasound-guided erector spinae plane (ESP) block performed at a single vertebral level corresponding to the surgical site, in addition to standardized general anesthesia and postoperative multimodal analgesia. |
|
| Two Level Erector Spinae Plane Block | Active Comparator | Participants in this arm will receive an ultrasound-guided erector spinae plane (ESP) block performed at two adjacent vertebral levels, in addition to standardized general anesthesia and postoperative multimodal analgesia. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Single-Level Erector Spinae Plane Block | Procedure | Ultrasound-guided erector spinae plane block performed at a single vertebral level for postoperative analgesia. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Intraoperative Remifentanyl Consumption | The amount of Remifentanyl that patients need to maintain anesthesia during the intraoperative period will be recorded | During the intraoperative period |
| Measure | Description | Time Frame |
|---|---|---|
| Pain Scores | Pain will be assessed at rest and while movement using the from 0 ( no pain) to 10 (worst pain). Pain assessment will be done at the 1st, 2nd, 4th, 12th and 24th hours after surgery | First 24 hours after surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hatice Ayça SARIBUDAK, MD | Contact | 905437290893 | aycasaribudak@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ankara Etlik City Hospital | Ankara | Yenimahalle | 06170 | Turkey (Türkiye) |
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| Two-Level Erector Spinae Plane Block | Procedure | Ultrasound-guided erector spinae plane block performed at two adjacent vertebral levels for postoperative analgesia. |
|
| ID | Term |
|---|---|
| D059787 | Acute Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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