Aim of this study was to assess the efficacy of erector spinae plane block (ESB) for postoperative pain management in lumbar spine surgery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
44
. The patient will be placed in the prone position. A high-frequency linear probe or a curved array probe, depending on the BMI of the patient, will be placed in longitudinal alignment, 2-3cm lateral to the vertebral column. The transverse processes of the vertebrae at the level of surgery, the erector spinae muscle, and the psoas muscle will be identified. A 5- or 8-cm 22-G ultrasound needle will be inserted with an in-plane technique in a cephalad-to-caudal direction until bone contact with the top of the transverse process is reached. After slight retraction of the needle, 20ml of bupivacaine 0.25% will be injected behind the erector spinae muscle. The same procedure will be repeated on the contralateral side.
Ain Shams University
Cairo, Egypt
RECRUITINGthe postoperative 24 hours morphine consumption
the analgesic effect of erector spine block will be assessed postoperative by numeric rating scale (NRS), if NRS is more than 3 the patient will receive a rescue dose of 5 milligrams of morphine
Time frame: 24 hours postoperative
Mean Blood pressure in mmHg
Measure mean blood pressure of patients postoperative every 4 hours
Time frame: 24 hours postoperative
Heart rate
Measure heart of the patients postoperative every 4 hours
Time frame: 24 hours postoperative
Patient satisfaction
Measure patient satisfaction by asking the patient if he is satisfied or not " yes or no"
Time frame: 24 hours postoperative
First time of mobilization to a chair
Measure the time to first mobilization to a chair in minutes
Time frame: 24 hours postoperative
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.