Effect of Preop and Postop ESP Block on Analgesia, Hemodynamics and Patient Satisfaction in Laparoscopic Cholecystectomy

NCT ID: NCT06670313

Last Updated: 2025-06-29

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 80 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-11-11
• Study Completion Date: 2025-06-25

Brief Summary

Erector spinae plane (ESP) block is an interfascial plane block applied to the paraspinal region, which provides effective visceral and extensive somatic analgesia by providing paravertebral spread of the administered local anesthetic to three and four vertebral levels cranial and caudal. ESP block is a new regional anesthesia method applied with ultrasound (USG) guidance to provide analgesia for various surgeries and for acute or chronic pain. The application of this block is simple and can be performed in the preoperative waiting area with light sedation or no sedation. ESP block can be applied with a single injection or as a continuous infusion by catheter placement.

Detailed Description

Erector spinae plane (ESP) block is an interfascial plane block applied to the paraspinal region, which provides effective visceral and extensive somatic analgesia by providing paravertebral spread of the administered local anesthetic to three and four vertebral levels cranial and caudal. ESP block is a new regional anesthesia method applied with ultrasound (USG) guidance to provide analgesia for various surgeries and for acute or chronic pain. The application of this block is simple and can be performed in the preoperative waiting area with light sedation or no sedation. ESP block can be applied with a single injection or as a continuous infusion by catheter placement. The first report related to this block was published in 2016; the block was performed to reduce thoracic neuropathic pain in a patient with metastatic rib disease and rib fracture. So far, the block has been reported to be performed successfully in many cases, including the Nuss procedure, thoracotomies, percutaneous nephrolithotomies, ventral hernia surgeries, and even lumbar fusions.

Conditions

Erector Spinae Plane Block

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Preop Erector spinae plane block

Patients who underwent erector spinae block before surgery

Group Type: ACTIVE_COMPARATOR

postop Erector spinae plane block

Intervention Type: OTHER

Postoperative ESP block was performed as the control group

postop Erector spinae plane block

Patients who underwent erector spinae block without waking the patient at the end of surgery

Group Type: ACTIVE_COMPARATOR

postop Erector spinae plane block

Intervention Type: OTHER

Postoperative ESP block was performed as the control group

Interventions

postop Erector spinae plane block

Postoperative ESP block was performed as the control group

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• According to the physical classification of the American Society of Anesthesiologists (ASA), ASA I-II group,
• between the ages of 18-65,

Exclusion Criteria

• Patients who do not want to participate in the study;
• BMI >30,
• Patients with contraindications for ESP block,
• Uncooperative patients,
• Those with renal failure,
• Those with hepatic failure and
• ASA III-IV-V group patients

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Harran University

OTHER

Sponsor Role: lead

Responsible Party

Veli Fahri Pehlivan

Assistant Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Veli Fahri Pehlivan

Sanliurfa, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

Sait

Identifier Type: -

Identifier Source: org_study_id