Ultrasound-Guided Erector Spinae Plane Block in Major Spinal Surgery

Diskapi Yildirim Beyazit Training and Research Hospital

Status: Completed

Conditions: Spinal Stabilization; Erector Spinae Plane Block; Opioid Consumption; Perioperative Bleeding

Treatments: Procedure: Ultrasound-guided erector spinae plane block

Study type: Interventional

Funder types: Other

Identifiers

NCT07101198

2023-676

Details and patient eligibility

About

This study aims to evaluate the effects of ultrasound-guided bilateral erector spinae plane block on intraoperative pain control and bleeding in patients undergoing major spinal surgery. Participants will be randomly assigned to two groups: one group will receive the Erector Spinae Plane block, while the other group will receive standard pain management. Primary outcomes include postoperative pain levels and intraoperative blood loss. This study seeks to determine whether the Erector Spinae Plane Block technique positively contributes to patient recovery and reduces bleeding complications.

Full description

This randomized controlled trial investigates the effectiveness of ultrasound-guided bilateral Erector Spinae Plane Block on intraoperative opioid consumption and bleeding in patients undergoing spinal surgery. Eligible adult patients will be enrolled after obtaining informed consent.

Participants will be randomly assigned to two groups: the intervention group will receive bilateral Erector Spinae Plane Block under ultrasound guidance before surgery, while the control group will receive standard pain management without the block. The Erector Spinae Plane Block will be performed using a standard dose of bupivacaine.

The primary outcome measure is the amount of intraoperative bleeding. Secondary outcomes include opioid consumption and incidence of complications.

This study aims to provide evidence on the efficacy of the Erector Spinae Plane Block technique in improving postoperative recovery and reducing bleeding complications in major spinal surgeries.

Enrollment: 120 patients

Sex: All

Ages: 18 to 90 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• Patients aged 18 years or older

Scheduled for elective spinal stabilization surgery

American Society of Anesthesiologists (ASA) physical status I-III

Provided written informed consent

Exclusion Criteria: Coagulopathy or current anticoagulant therapy

Anatomical barrier or infection at the Erector Spinae Plane Block site

Known allergy to local anesthetics or opioids

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Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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120 participants in 2 patient groups

Erector Spinae Plane Block Group

Experimental group

Description:

Participants in this group received an ultrasound-guided Erector Spinae Plane Block preoperatively as part of multimodal analgesia.

Treatment:

Procedure: Ultrasound-guided erector spinae plane block

Control Group

No Intervention group

Description:

Participants in this group did not receive a preoperative regional anesthesia block. Standard postoperative analgesic protocols were used.