RCT - Epidural Anesthetic Cocktail Following Endoscopic Lumbar Discectomy
Comparative Outcomes of Intraoperative Epidural Application of Anesthetic Cocktail Following Endoscopic Lumbar Discectomy: A Randomized Controlled Trial
Queen Savang Vadhana Memorial Hospital, Thailand
54 participants
May 1, 2022
INTERVENTIONAL
Conditions
Summary
The study aims to study the effect of intraoperative epidural application of anesthetic cocktail following endoscopic lumbar discectomy in improving postoperative pain, length of hospital stay, time at first dose analgesia, post-operative opioid consumption, functional outcomes, time return to work, and postoperative complications
Eligibility
Inclusion Criteria5
- Age 18-60
- Lumbar radiculopathy
- No prior spinal surgery or recurrent lumbar disc herniation
- Plan for endoscopic discectomy after failed conservative for at least 6 weeks
- Single-level herniation confirmed by MRI which correlated with symptoms
Exclusion Criteria5
- Allergic or contraindicated to amide-type anesthesia, opioid, NSAIDs, or steroids
- Cauda equina syndrome
- Concomitant with other abnormalities
- Unable to answer questionnaires
- Cannot tolerate surgery due to medical comorbidities
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Interventions
The anesthetic cocktail, consists of triamcinolone 40 mg, marcaine 5 mg, and morphine 3 mg, is soaked in the gelfoam size 1x2 cm and applied on the epidura before removal of the endoscope.
The placebo is soaked with NSS in the gelfoam size 1x2 cm as well and applied on the epidura before removal of the endoscope.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT05738759