Comparing two anesthesia techniques for lumbar discectomy without opioids
Retrolaminar Block Versus Erector Spinae Plane Block as Opioid-Free Anesthesia for Enhanced Recovery After Posterior Lumbar Discectomy: A Randomized Trial
This study tests which of two opioid-free anesthesia techniques helps people recover better and manage pain after lumbar discectomy surgery.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 90 (estimated) |
| Ages | 18 Years to 65 Years |
| Sex | All |
| Sponsor | Tanta University Academic / other |
| Locations | 1 site (Tanta, El-Gharbia) |
| Trial ID | NCT06725680 on ClinicalTrials.gov |
What this trial studies
This study aims to compare the effectiveness of retrolaminar block and erector spinae plane block as opioid-free anesthesia methods for patients undergoing posterior lumbar discectomy. The focus is on enhancing recovery after surgery by minimizing opioid use, which is associated with various side effects. Both techniques involve the administration of local anesthetics to manage pain without entering the paravertebral space directly. The study will evaluate pain management outcomes and recovery times to determine which technique is more effective.
Who should consider this trial
Good fit: Ideal candidates for this study are adults aged 18 to 65 who are scheduled for elective posterior lumbar discectomy and have an ASA physical status of I-II.
Not a fit: Patients with a BMI over 35, chronic opioid use, or significant comorbidities such as cardiac or renal insufficiency may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to improved pain management and faster recovery for patients undergoing lumbar discectomy without the use of opioids.
How similar studies have performed: Other studies have shown promising results with opioid-free anesthesia techniques, suggesting that this approach may be effective, though the specific comparison of these two techniques is less commonly tested.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age from 18 to 65 years. * Both sexes. * American Society of Anesthesiology (ASA) physical status I-II. * Undergoing elective posterior lumbar discectomy under general anesthesia. Exclusion Criteria: * Body mass index (BMI) \>35 kg/m2. * Patients with disturbed mental status. * Allergies to the drugs used in the study. * Local infection at the puncture site. * Cardiac insufficiency. * Renal insufficiency. * Coagulopathy. * Chronic opioid use.
Where this trial is running
Tanta, El-Gharbia
- Tanta University — Tanta, El-Gharbia, Egypt (Recruiting)
Study contacts
- Study coordinator: Mohammed S Elsharkawy, MD
- Email: mselsharkawy@med.tanta.edu.eg
- Phone: 00201148207870
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.