RecruitingNot ApplicableNCT06639022

Comparison of the Postoperative Analgesic Efficacy of SPSIPB and ESPB in Anterior Cervical Discectomy

Comparison of the Postoperative Analgesic Efficacy of Serratus Posterior Superior Intercostal Plane Block and Erector Spinae Plane Block in Anterior Cervical Discectomy

Sponsor

Ankara Etlik City Hospital

Enrollment

85 participants

Start Date

Oct 15, 2024

Study Type

INTERVENTIONAL

Conditions

Pain Management Anterior Cervical Discectomy Peripheral Nerve Block

Summary

Anterior cervical discectomy is an operation performed for complaints of pain, numbness or loss of strength due to cervical disc disease. With this operation, pressure due to herniation on the upper neck area, spinal cord or nerve roots is relieved. It is performed by microscopic method from the front of the neck. Nerve blocks reduces opioid consumption in the postoperative period by providing better pain control and therefore has advantages such as fewer side effects and less risk of pulmonary and cardiac complications. In this study; it was aimed to compare the analgesic effectiveness of serratus posterior superior intercostal plane block and erector spinae plane block, with each other and with the control group in the postoperative period in patients who underwent anterior cervical discectomy.

Eligibility

Min Age: 18 YearsMax Age: 80 Years

Inclusion Criteria3

Patients aged 18-80 years
American Society of Anesthesiologists (ASA) score I-II-III
Body Mass Index (BMI) between 18-30 kg/m2

Exclusion Criteria4

Patients under 18 and over 80 years of age
ASA score IV and above
Patients with a history of bleeding diathesis
BMI below 18 or above 30 kg/m2

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Interventions

PROCEDURESerratus posterior superior intercostal plane block

Serratus posterior superior intercostal plane block will be performed on the patients using 30 ml of 0.25% bupivacaine under ultrasound guidance. Additionally, in the postoperative period a paracetamol dose of 1 g every 8 hours and a dexketoprofen dose of 50 mg twice daily were administered iv for multimodal analgesia.

PROCEDUREErector spinae plane block

Erector spinae plane block will be performed on the patients using 30 ml of 0.25% bupivacaine under ultrasound guidance. Additionally, in the postoperative period a paracetamol dose of 1 g every 8 hours and a dexketoprofen dose of 50 mg twice daily were administered iv for multimodal analgesia.

PROCEDUREGroup without peripheral nerve block

In the postoperative period a paracetamol dose of 1 g every 8 hours and a dexketoprofen dose of 50 mg twice daily were administered iv for multimodal analgesia.