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
PHASE4
44 participants
INTERVENTIONAL
2021-01-22
2022-06-30
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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erector spinae block group (E)
patients will receive bilateral ultrasound guided erector spinae block before the lumbar spine surgery starts.(20ml of bupivacaine 0.25%) after receiving general anesthesia
erector spinae block for group E
. 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.
control group (C)
patients will receive standard general anesthesia for lumbar spine surgery according to hospital protocol.
No interventions assigned to this group
Interventions
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erector spinae block for group E
. 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.
Eligibility Criteria
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Inclusion Criteria
* Both sexes.
* Age between 20 to 60 years old.
* Scheduled for lumbar spine surgeries.
Exclusion Criteria
* Patients with bleeding disorders and coagulopathy.
* Infection at the injection site.
* Allergy to local anesthetics.
* Patients with significant cognitive dysfunction.
* Patients with diabetic neuropathy.
* Patients with uncontrolled hypertension or diabetes.
* Patients with advanced cardiac, respiratory, hepatic or renal disease.
* Patients with viral hepatitis or HIV.
20 Years
60 Years
ALL
No
Sponsors
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Ain Shams University
OTHER
Responsible Party
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Principal Investigators
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ossama mansour, professor
Role: STUDY_CHAIR
faculty of medicine , ain shams university
Locations
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Ain Shams University
Cairo, , Egypt
Countries
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Central Contacts
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Facility Contacts
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References
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Singh S, Choudhary NK, Lalin D, Verma VK. Bilateral Ultrasound-guided Erector Spinae Plane Block for Postoperative Analgesia in Lumbar Spine Surgery: A Randomized Control Trial. J Neurosurg Anesthesiol. 2020 Oct;32(4):330-334. doi: 10.1097/ANA.0000000000000603.
Other Identifiers
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ainshmas university
Identifier Type: -
Identifier Source: org_study_id
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