Comparison of the Analgesic Efficacy of Erector Spinae Plane Block in Lumbar Microdiscectomy Surgeries

Gaziosmanpasa Research and Education Hospital88 enrolled

Overview

Comparison of the Analgesic Efficacy of Lumbar Erector Spinae Plane Block and Sacral Erector Spinae Plane Block in Lumbar Microdiscectomy Surgeries

Postoperative pain is commonly observed in patients undergoing lumbar microdiscectomy surgery. To manage this pain, the lumbar erector spinae plane (ESP) block is frequently administered as part of a multimodal analgesia regimen, particularly with the aim of reducing opioid consumption in these patients. Recent publications have demonstrated the analgesic efficacy of the sacral erector spinae plane block in lumbar microdiscectomy surgeries. In this study, the postoperative analgesic effectiveness of the lumbar ESP block-performed two vertebral levels above the surgical site-will be compared with that of the sacral ESP block-performed two vertebral levels below the surgical site. It is anticipated that this approach will provide effective analgesia while avoiding the use of opioids.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Lumbar Microdiscectomy Surgery Lumbar Erector Spinae Plane Block Sacral Erector Spinae Plane Block Postoperative Pain Multimodal Analgesia Regimen

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: ASA I, ASA II, and ASA III patients scheduled for single-level lumbar microdiscectomy at the L4-L5 or L5-S1 level. Exclusion Criteria: Pregnant patients Patients who do not consent to the erector spinae plane block Patients requiring mechanical ventilatory support Patients with a history of substance abuse Patients with a known allergy to the medications to be used Patients with bleeding diathesis Patients with infection at the planned block site Patients undergoing surgical intervention at two or more spinal levels Patients with communication difficulties or intellectual disabilities Patients with neuropsychiatric disorders Patients with chronic pain Patients with an expected surgical duration of 180 minutes or more Patients with a prior history of lumbar microdiscectomy

Outcomes

Primary Outcomes

total tramadol consumption

Time frame: first 24 hours after the surgery

Secondary Outcomes

patients' visual analog scale

To compare postoperative Visual Analog Scale (VAS) pain scores at 2, 4, 8, 12, and 24 hours.

Time frame: first 24 hours after the surgery

To compare analgesic consumption during the postoperative time intervals of 0-2, 2-4, 4-8, 8-12, and 12-24 hours.

postoperative 0-2, 2-4, 4-8, 8-12, and 12-24 hours.

Time frame: first 24 hours after the surgery

Comparison of the Analgesic Efficacy of Erector Spinae Plane Block in Lumbar Microdiscectomy Surgeries

Overview

Conditions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes