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

Aydin Adnan Menderes University

Status: Not yet enrolling

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

Treatments: Diagnostic Test: Numeretic rating scale (NRS); Diagnostic Test: Quality of Results (QoR-40); Other: Opioid consuption

Study type: Interventional

Funder types: Other

Identifiers

NCT06815146

2025

Details and patient eligibility

About

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.

Enrollment: 126 estimated patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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126 participants in 2 patient groups

esp block

Active Comparator group

Treatment:

Other: Opioid consuption

Diagnostic Test: Quality of Results (QoR-40)

Diagnostic Test: Numeretic rating scale (NRS)

mtp block

Experimental group

Treatment:

Other: Opioid consuption

Diagnostic Test: Quality of Results (QoR-40)

Diagnostic Test: Numeretic rating scale (NRS)