Erector Spinae Plane Block Impact on Quality of Recovery After Lumbar Spinal Decompression (ESPB)

Benha University

Status and phase: Completed; Phase 4

Conditions: Postoperative Pain

Treatments: Drug: Bupivacain

Study type: Interventional

Funder types: Other

Identifiers

NCT04943549

5-5-2021

Details and patient eligibility

About

Erector spinae plane block (ESPB) as a new trunk fascia block technique was proposed in 2016. ESPB has aroused the interest of many nerve block experts. The benefits of ESPB are not yet demonstrated. The specific mechanism is still controversial. Some believe that ESPB can block the posterior root of the spinal nerve and produce part of the para-spinal block effect with the diffusion of the drug solution.

The present study will carried out to compare the performance of the erector spinae plane block combined with general anesthesia in addicts versus non addicts' patients regarding the local analgesic effect, recovery after surgery and side effects.

Enrollment: 60 patients

Sex: Male

Ages: 18 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Male gender.
2. Age range of 18-60 years.
3. Scheduled for open lumbar decompression surgery.
4. A minimum of 1-year experience of drug consumption or having drug withdrawal symptoms when stopping for inclusion in the drug addicts group(according to the patient's statement and rapid opiate urine test).

Exclusion criteria

1. Hepatic or renal insufficiency.
2. Preoperative cognitive dysfunction or communication disorder.
3. Allergy to amide-type local anaesthetics.
4. Back puncture site infection.
5. Coagulation disorders.
6. Emergency surgery.

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

60 participants in 2 patient groups, including a placebo group

Group (A)

Active Comparator group

Description:

History of addiction.

Treatment:

Drug: Bupivacain

Group (N)

Placebo Comparator group

Description:

No history of addiction to any drug.

Treatment:

Drug: Bupivacain