Ultrasound Guided Erector Spinae Plane Block Combined With General Anaesthesia Versus Conventional General Anaesthesia in Lumbar Spine Surgery
NCT ID: NCT04302129
Last Updated: 2020-03-17
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
30 participants
INTERVENTIONAL
2020-01-04
2020-04-30
Brief Summary
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Detailed Description
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• Anaesthetic requirements: based on entropy monitoring(state and response entropy monitoring and the difference as a measure for adequacy of analgesia) and haemodynamic parameters ( heart rate and mean arterial blood pressure) at the following time intervals: before induction, after induction, after giving either ESP block or multimodal analgesia and starting surgical stimulus, at 30 min intervals, at end of anaesthesia, at eye opening.
Secondary outcomes:
* Stress response measurement based on serum cortisol and blood glucose levels
* Controlled hypotensive anaesthesia: various drugs required and doses given
* Intraoperative and postoperative analgesia.
* Postanaesthesia care unit data concerning recovery.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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ultrasound guided erector spinae block and general anaesthesia
Ultrasound guided erector spine plane block is done after general anaesthesia and prone positioning
Erector spinae plane block
20 ml local anaesthetic are injected bilaterally on each side of the surgical incision underneath the erector spinae muscle where the dorsal rami pass around the bases of the transverse processes.
Multimodal analgesia with general anaesthesia
Multimodal analgesia given with general anaesthesia in form of ketorolac and paracetamol
Multimodal analgesia
Ketorolac 0.75 mg/ Kg and paracetamol 10 mg/ Kg intravenously
Interventions
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Erector spinae plane block
20 ml local anaesthetic are injected bilaterally on each side of the surgical incision underneath the erector spinae muscle where the dorsal rami pass around the bases of the transverse processes.
Multimodal analgesia
Ketorolac 0.75 mg/ Kg and paracetamol 10 mg/ Kg intravenously
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* BMI \> 30 or \< 18.5.
* Patients with surgical site infection.
* Patients with unstable spine integrity like fractures or scoliosis.
* Hypertensive ,cardiac and diabetic patients.
18 Years
70 Years
ALL
No
Sponsors
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University of Alexandria
OTHER
Mohamed Elsayed
OTHER
Responsible Party
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Mohamed Elsayed
doctor
Locations
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Alexandria faculty of medicine
Alexandria, , Egypt
Countries
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Other Identifiers
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operative lumbar spine pain
Identifier Type: -
Identifier Source: org_study_id
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