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Prediction of Clinical Outcome in Lumbar ESPB

NCT ID: NCT05723367

Last Updated: 2023-02-15

Study Results

Results pending

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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Recruitment Status

UNKNOWN

Total Enrollment

85 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-02-13

Study Completion Date

2023-11-30

Brief Summary

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The primary endpoint of this study was to identify that Perfusion index (PI) has any predictive value for the treatment outcome of cervical radiculopathy

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Detailed Description

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The erector spinae plane block (ESPB) is a less invasive, safer, and technically easy alternative procedure to conventional neuraxial anesthetic techniques. In contrast to common neuraxial techniques such as paravertebral and epidural injections, the ESPB targets an interfascial plane which is far from the spinal cord, root, and pleura. First applied to thoracic neuropathic pain, currently ESPB is being applied to postoperative pain control and includes variable clinical situations. In the abdomen and thoracic wall, thoracic ESPB can be applied for pain control after cardiac surgery, video-assisted thoracic surgery, laparoscopic cholecystectomy, and thoracotomy. Recently, favorable postoperative pain control after lumbar spinal or lower limb surgeries has been reported with lumbar ESPB. In addition, ESPB has also been used for chronic pain conditions in the upper and lower extremities. The perfusion index (PI) is a numerical value for the ratio between pulsatile and non-pulsatile blood flow measured by a special pulse oximeter. Although the special probe for PI measurement is relatively more expensive compared with ordinary pulse oximetery probes, its benefit as a marker of peripheral perfusion and as an idex for sympathetic stimulation have increased its use progressively. PI has been used widely for the prediction of success of brachial plexus block or axillary block. Changes of PI ratio value showed an excellent predictive value for the success of block.

There have been no studies demonstrating predictive value of PI in lumbar ESPB ESPB for the relief of low back pain or leg pain due to lumbar disc herniation or stenosis.

Conditions

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Pain, Chronic

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Interventions

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lumbar ESPB group where ESPB is performed at L4 with local anesthetics 20ml

ultrasound guided fascial plane injection

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Lumbar foraminal stenosis
* Lumbar central stenosis
* Lumbar disc herniation
* Lumbar spondylolisthesis

Exclusion Criteria

* Infection
* Pregnancy
* allergy to local anesthetic agnets
* Previous lumbar spine surgery
Minimum Eligible Age

20 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Keimyung University Dongsan Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Ji Hee Hong

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Ji Hoon Park

Daegu, , South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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Ji H Hong

Role: CONTACT

[email protected]
01046794343

Ji Hoon Park

Role: CONTACT

[email protected]
+82532587760

Facility Contacts

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Ji Hoon Park

Role: primary

[email protected]
+82532587760

J Hee Hong

Role: backup

[email protected]
82-53-258-7767

Other Identifiers

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2023-01-025-03

Identifier Type: -

Identifier Source: org_study_id

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