Does bilateral superficial cervical plexus block improve the quality of recovery after anterior cervical spine surgery?
Does bilateral cervical plexus block improve the quality of recovery for patients undergoing anterior cervical spine surgery: a randomised placebo-controlled trial
Macquarie University
136 participants
Oct 21, 2019
Interventional
Conditions
Summary
The anterior approach to the cervical spine is a common procedure in spine surgery. There is increased interest in decreasing the length of stay in hospital after this procedure. In addition, there is increased focus on improving the patients experience after surgery. Ultrasound guided bilateral superficial cervical plexus block has been shown to be beneficial in thryoid surgery, but there is a paucity of data related to anterior cervical spine surgery. Therefore, we designed a placebo controlled trial to assess the benefits of this procedure in regards to improving the patients recovery from surgery and decreasing their length of hospital stay.
Eligibility
Inclusion Criteria4
- Patients either:
- undergoing anterior cervical discectomy and fusion
- undergoing anterior cervical disc arthroplasty
- with isolated cervical spine trauma requiring anterior fusion only
Exclusion Criteria8
- Patients:
- with multitrauma
- undergoing anterior cervical vertebrectomy and reconstruction
- undergoing posterior fixation in addition to anterior surgery
- undergoing surgery for malignancy
- with allergies to ropivacaine or bupivacaine
- that are pregnant
- that have neurologic or psychiatric condition that would prevent completion of the QoR-40 questionnaire
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Interventions
Immediately following induction of anaesthesia and intubation, bilateral ultrasound guided superficial cervical plexus blocks will be placed by an anaesthetist experienced in delivering the block. Patients randomised to the local anaesthetic group will receive 15mL of 0.2% ropivacaine on each side (totalling 30mLs).
Locations(3)
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ACTRN12619000028101