Ultrasound-Guided Intermediate Cervical Plexus or Cervical Erector Spinae Block for Anterior Cervical Spine Surgery

Zagazig University

Status: Completed

Conditions: Analgesia

Treatments: Procedure: intermediate cervical plexus block; Procedure: Cervical Erector spinae block

Study type: Interventional

Funder types: Other

Identifiers

NCT05577559

9790 (Other Identifier)

Details and patient eligibility

About

• Neck pain and stiffness or sore throat, are common after anterior cervical spine surgery. Complications are rare but can be serious and even potentially life-threatening if they do occur. Rapid recovery and emergence from general anesthesia are important in cases of anterior cervical spine surgery.

Full description

• Null hypothesis (H0): No difference between the regional analgesia effects of bilateral ultrasound-guided superficial cervical plexus block and bilateral cervical erector spinae block in patients undergoing anterior cervical spine surgery under general anesthesia.
• Alternative hypothesis (H1): There are differences between the regional analgesia effects of bilateral ultrasound-guided superficial cervical plexus block and bilateral cervical erector spinae block in

Enrollment: 58 patients

Sex: All

Ages: 21 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Patient acceptance.
• Age (21-60) years old.
• Both sex
• American Society of Anesthesiologist physical status I / II
• Elective anterior cervical spine surgery under general anesthesia.
• patient With Body Mass Index (BMI) (25-35kg/m²)

Exclusion criteria

• Local infection at site of puncture.
• Altered mental status.
• History of allergy to study drugs ( bupivacaine, fentanyl).
• Patients with chronic pain.
• Patients with severe hepatic or kidney impairment.
• Patients having a history of hematological disorders, including coagulation abnormality.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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58 participants in 2 patient groups

Superficial cervical group

Active Comparator group

Description:

patients will receive bilateral ultrasound guided intermediate cervical plexus block using 15 ml of bupivacaine 0.25% for each side.

Treatment:

Procedure: intermediate cervical plexus block

Erector spinae group

Active Comparator group

Description:

patients will receive bilateral ultrasound guided cervical erector spinae plane block using 15 ml of bupivacaine 0.25% for each side at the level of C6.

Treatment:

Procedure: Cervical Erector spinae block