Postoperative Analgesia in Patients Undergoing Elective Lumbar Fusion Operations Under General Anesthesia

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Description

It was proven that intrathecal opioids are considered as an effective means of pain control in several major surgical interventions including spine surgeries. Intrathecal morphine added to a spinal anesthesia reduces acute pain after spine surgeries but has side effects, including dose dependent respiratory depression, nausea, vomiting, pruritus, and sedation. Ultrasound guided Erector Spinae Plane Block (ESPB) was first described in 2016.Recent case reports suggest a positive effect of ultrasound guided ESPB on pain for multiple indications including lumbar spine fusion and scoliosis surgery, with a very low risk of complications as there are no structures in close proximity at risk of needle injury.

Targeted Conditions

Study Overview

Start Date
May 10, 2022
Completion Date
March 31, 2024
Enrollment
120
Date Posted
April 21, 2022
Accepts Healthy Volunteers?
No
Gender
All

Locations

Full Address
Ain-Shams University Hospitals
Cairo, Egypt

Eligibility

Minimum Age (years)
21
Maximum Age (years)
55
Eligibility Criteria
Inclusion Criteria:

Body mass index (BMI) 25 to 35 kg/m².
American Society of Anesthesiologist (ASA) physical status I or II.

Exclusion Criteria:

patient's refusal
Altered mental status
Known allergy to study drugs (bupivacaine or morphine)
Local infection at site of puncture.
Known case with any pulmonary disease
Known case with Obstructive sleep apnea (OSA)
Coagulopathy and /or thrombocytopenia
Chronic pain
Severe hepatic or kidney impairment

Study Contact Info

Study Contact Name
Ibrahim Mamdouh Esmat
Study Contact Email
Study Contact Phone

Contact Listings Owner Form

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Other Details

FDA Regulated Drug?
No
FDA Regulated Device?
No
NCTid (if applicable)
NCT05338320