Plane Block vs Intravenous Patient Controlled Analgesia
Status:
Completed
Trial end date:
2020-10-01
Target enrollment:
Participant gender:
Summary
Acute postoperative pain begins with surgical trauma and decreases with tissue healing.
Untreatable postoperative pain is one of the most important problems due to the increase in
respiratory, cardiac and thromboembolic complications. Lumber disc surgery is widely
performed, and patients often complain of postoperative pain.
Preventing and managing postoperative pain after lumber disc surgery is very important for
anesthetists. For this purpose, non-steroidal anti-inflammatory agents, intravenous opioids,
preemptive analgesia methods, intravenous patient controlled analgesia methods and regional
anesthesia techniques are used within the multimodal analgesia strategy.
Regional anesthesia techniques are becoming increasingly widespread due to their efficiency
and increased applicability thanks to the use of ultrasonography. Regional anesthesia
techniques used in lumber disc surgery include paravertebral block, local anesthetic
infiltration, epidural analgesia, and erector spina plan block and modified thoracolumbar
interfacial plan block in recent years.
The erector spina plane block was first described in 2016, and the thoracolumbar interfacial
plane block in 2015, and its modification was developed in 2017. Although they vary depending
on the level of application, they offer analgesic activity in a wide range. Although there
are publications about the use of these blocks for postoperative analgesia after lumber
surgeries, which block is more effective has not been investigated.
This study may contribute to the development of new options for pain management after lumber
disc surgery by comparing erector spina plane block and modified thoracolumbar interfacial
plane block, which have recently been used for postoperative pain treatment, with limited
research, with each other and the standard technique, intravenous patient controlled
analgesia, can add new applications to multimodal analgesia methods, increase patient
satisfaction and contribute to the early recovery process.
The objective is to compare the erector spina plane block and modified thoracolumbar
interfacial plane block in patients undergoing lumber disc surgery with intravenous
patient-controlled analgesia in terms of analgesic efficacy.
Hypothesis The erector spina plane block and modified thoracolumbar interfacial plane block
may decrease the postoperative pain scores, opioid consumption and time to first analgesic
requirement compared with intravenous patient controlled analgesia.