The Effects of ESP Block and Mid-Transverse Process to Pleura Block on Postoperative Opioid Consumption and Quality of Recovery

NCT ID: NCT06815146

Last Updated: 2025-02-07

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

126 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-02-15

Study Completion Date

2026-02-15

Brief Summary

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Erector Spinae Area (ESP) Block and Mid-Transverse Process to Pleura Block(MTP) have recently been described for the treatment of pain after lumbar spinal surgery. Although these blocks have been shown to be effective in the treatment of pain after lumbar spinal surgery when compared with postoperative pain, they have not been compared in terms of the quality of recovery and opioid consumption after lumbar spinal surgery.

The aim of this clinical trial is to compare the effects of Erector Spinae Area (ESP) Block and Mid-Transverse Process to Pleura Block(MTP) on quality of recovery and opioid consumption in patients scheduled for lumbar spinal surgery. The effects of the 2 blocks on postoperative pain will also be compared and recorded.

Detailed Description

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Conditions

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Opioid Consumption Quality of Recovery(QoR-40), Preoperative and Postoperative

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Caregivers
Blind patients and postoperative follow-ups will not know which group the patient is in the study. Randomization will be done with computer support.

Study Groups

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esp block

Group Type ACTIVE_COMPARATOR

Numeretic rating scale (NRS)

Intervention Type DIAGNOSTIC_TEST

NRS is a pain intensity determination system based on the person being asked to describe their pain on a scale of 0 (none), 10 (unbearable pain) and a point between.

Quality of Results (QoR-40)

Intervention Type DIAGNOSTIC_TEST

Several rating scales have been developed to measure quality of recovery after surgery and anaesthesia, but the most extensively used is the QoR-40, a 40-item questionnaire that provides a global score and subscores across five dimensions: patient support, comfort, emotions, physical independence, and pain.

Opioid consuption

Intervention Type OTHER

Opioid consuption will be recorded from PCA

mtp block

Group Type EXPERIMENTAL

Numeretic rating scale (NRS)

Intervention Type DIAGNOSTIC_TEST

NRS is a pain intensity determination system based on the person being asked to describe their pain on a scale of 0 (none), 10 (unbearable pain) and a point between.

Quality of Results (QoR-40)

Intervention Type DIAGNOSTIC_TEST

Several rating scales have been developed to measure quality of recovery after surgery and anaesthesia, but the most extensively used is the QoR-40, a 40-item questionnaire that provides a global score and subscores across five dimensions: patient support, comfort, emotions, physical independence, and pain.

Opioid consuption

Intervention Type OTHER

Opioid consuption will be recorded from PCA

Interventions

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Numeretic rating scale (NRS)

NRS is a pain intensity determination system based on the person being asked to describe their pain on a scale of 0 (none), 10 (unbearable pain) and a point between.

Intervention Type DIAGNOSTIC_TEST

Quality of Results (QoR-40)

Several rating scales have been developed to measure quality of recovery after surgery and anaesthesia, but the most extensively used is the QoR-40, a 40-item questionnaire that provides a global score and subscores across five dimensions: patient support, comfort, emotions, physical independence, and pain.

Intervention Type DIAGNOSTIC_TEST

Opioid consuption

Opioid consuption will be recorded from PCA

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Elective Lumbar Spinal surgery performed
* ASA I-III
* 18-75 years old

Exclusion Criteria

1. Refusal at enrollment
2. Request for withdrawal from the study
3. Inability to give informed consent
4. Emergency surgery
5. Bleeding diathesis
6. Presence of contraindications to the LA agents used in this study
7. Use of chronic opioids
8. Psychiatric disorders
9. Presence of infection at the injection site
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Aydin Adnan Menderes University

OTHER

Sponsor Role lead

Responsible Party

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SINEM SARI

MD, Prof

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Sinem Sarı, Prof Dr

Role: CONTACT

90 256 220 2108

References

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Eskin MB, Ceylan A, Ozhan MO, Atik B. Ultrasound-guided erector spinae block versus mid-transverse process to pleura block for postoperative analgesia in lumbar spinal surgery. Anaesthesist. 2020 Oct;69(10):742-750. doi: 10.1007/s00101-020-00848-w. Epub 2020 Sep 21.

Reference Type BACKGROUND
PMID: 32955601 (View on PubMed)

Other Identifiers

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2025

Identifier Type: -

Identifier Source: org_study_id

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