Efficacy of Erector Spinae Plane Block on Postoperative Delirium in Patients Undergoing Lumbar Spine Surgery
NCT ID: NCT05276648
Last Updated: 2022-03-11
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
128 participants
INTERVENTIONAL
2022-02-01
2024-02-01
Brief Summary
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The aim of this study was to investigate the effect of this field block on postoperative delirium in patients undergoing ESP with lomber vertebra surgery and with ultrasound guidance for postoperative analgesia.
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Detailed Description
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Surgical interventions have been associated with severe pain and discomfort in the immediate perioperative period. Surgical anesthesia and the perioperative analgesic regimen aim toward complete intra-operative amnesia, profound analgesia, effective control of autonomic responses and rapid emergence. However, anesthesia, analgesia and sedation all utilize medications that might be implicated in the development of central nervous system (CNS) dysfunction. Elderly patients are more sensitive to the CNS effects of barbiturates, inhalationalanesthetics, benzodiazepines and opioids. Some medications frequently associated with delirium with or without POCD include opioids, anxiolytics, antidepressants, and corticosteroids.
There are studies regarding the effect of erektor spina field block on postoperative pain in vertebra surgery.The investigators will compare the effect on postoperative delirium of patients who underwent erector spina plane block after spinal surgery with those who did not.
Conditions
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Study Design
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RANDOMIZED
CROSSOVER
SUPPORTIVE_CARE
NONE
Study Groups
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ESP BLOCK
erector spina plane block applied
CAM ICU test
CAM ICU for delirium
MOCA test
MOCA for cognitif disfonction
brief pain test
BRİEF PAİN for chronic pain
VAS scale
VAS scale for acute pain
no ESP BLOCK
those who did not apply erector spina plan block
CAM ICU test
CAM ICU for delirium
MOCA test
MOCA for cognitif disfonction
brief pain test
BRİEF PAİN for chronic pain
VAS scale
VAS scale for acute pain
Interventions
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CAM ICU test
CAM ICU for delirium
MOCA test
MOCA for cognitif disfonction
brief pain test
BRİEF PAİN for chronic pain
VAS scale
VAS scale for acute pain
Eligibility Criteria
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Inclusion Criteria
2. ASA Physical Status 1-3;
3. Scheduled for elective hip surgery under spinal anesthesia
4. MMSE ≥ 20 (to exclude dementia)
Exclusion Criteria
2. Bipolar disorder
3. major depression
4. schizophrenia
5. Alzheimer
6. Dementia
7. ASA physical status IV or V
65 Years
99 Years
ALL
No
Sponsors
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Aydin Adnan Menderes University
OTHER
Responsible Party
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BULUT POLAT
DR
Principal Investigators
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Sinem Sari öztürk
Role: STUDY_DIRECTOR
Aydin Adnan Menderes University
Locations
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Adnan Menderes University
Aydin, Efeler, Turkey (Türkiye)
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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2021/05
Identifier Type: -
Identifier Source: org_study_id
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