RecruitingNot ApplicableNCT04904575

Erector Spinae Plane Block in Lumbar Spinal Fusion

Erector Spinae Plane Block in Lumbar Spinal Fusion : Double-blind, Randomized Controlled Trial.


Sponsor

Clinique Saint Jean, France

Enrollment

130 participants

Start Date

Jan 3, 2022

Study Type

INTERVENTIONAL

Conditions

Summary

The aim of this study is to observe or not a reduction in the consumption of morphine within 72 hours of the realization of an erector spinae plane block when preparing for a lumbar spinal fusion.


Eligibility

Min Age: 18 Years

Inclusion Criteria4

  • Patient with medical insurance.
  • Patient who received information about study and signes a consent to participate in the study.
  • Major patient requiring a lumbar spinal fusion surgery.
  • Patient with an ASA score of 1, 2 or 3.

Exclusion Criteria13

  • Minor patient.
  • Patient with morphine intolerance
  • Patient with allergy to local anesthetics.
  • Patient consuming morphine for more than 3 months.
  • Pregnant or breastfeeding patient.
  • Patient scheduled for cancer surgery or trauma surgery.
  • Patient participating in another interventional study.
  • Patient with history of lumbar spinal fusion.
  • Patient requiring lumbar surgery without arthrodesis.
  • Patient requiring lumbar surgery with inter-lamar or inter-epineal stabilization.
  • Patient refusing to sign the consent form.
  • Patient for whom it is impossible to give informed information.
  • Patient under the protection of justice, under curatorship or under tutorship.

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Interventions

PROCEDUREErector spinae plane block

Procedure : After installing the sleeping patient and identifying the surgical level by the surgeon, the anesthetist will perform the erector spinae plane block. The anesthetist performs an ultrasound to view the spine and erector muscles and identifies the transverse processes of the vertebra involved in the surgery. Once the location has been made, the anesthetist injects the anesthetic product under ultrasound control between the erector muscle of the spine and its anterior fascia, the trajectory of the needle being thus visualized throughout the procedure. The anesthetist bilaterally injects 3ml/kg of solution with a maximum of 30ml injected. Drug : Levobupivacaïne 2,5mg/ml.

PROCEDUREErector spinae plane block

Procedure : After installing the sleeping patient and identifying the surgical level by the surgeon, the anesthetist will perform the erector spinae plane block. The anesthetist performs an ultrasound to view the spine and erector muscles and identifies the transverse processes of the vertebra involved in the surgery. Once the location has been made, the anesthetist injects the anesthetic product under ultrasound control between the erector muscle of the spine and its anterior fascia, the trajectory of the needle being thus visualized throughout the procedure. The anesthetist bilaterally injects 3ml/kg of solution with a maximum of 30ml injected. Drug : NaCL 0,9%.


Locations(1)

Clinique Saint Jean

Saint-Jean-de-Védas, France

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NCT04904575


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