Using Erector Spinae Block to Reduce Opioid Use After Neck Surgery

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial investigates the effectiveness of the Erector Spinae Plane (ESP) block in managing postoperative pain for patients undergoing posterior cervical spine surgery. The ESP block aims to provide targeted pain relief while minimizing the reliance on opioids, which can lead to addiction and other side effects. By employing a multimodal analgesia approach, the study seeks to enhance recovery and improve overall patient outcomes. Participants will receive either the ESP block with local anesthetics or a placebo to assess the impact on pain management and opioid consumption.

Why it matters

Who can join: the full rules

Inclusion Criteria:

All adult patients aged 18-80 years with ASA class I - III undergoing posterior cervical (C3-T2) decompression and instrumented fusion for cervical stenosis in prone position.

Exclusion Criteria:

1. In patients who are allergic to local anesthetics.
2. ASA IV patients
3. Lack of informed consent
4. Pregnant patient.
5. Fracture cervical spine
6. Extradural or intradural cervical tumors
7. Surgery of C1 and C2 spine

Where it's running

• Toronto Western Hospital?UHN
  Toronto, Ontario, Canada Recruiting

Study contacts

• Principal investigator: Michael Dinsmore, MD — University Health Network, Toronto
• Study coordinator: Michael Dinsmore, MD
• Email: michael.dinsmore@uhn.ca
• Phone: 416 603 5800

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

• Lateral positioning to optimize breathing in adults after abdominal surgery with ARDS

  This study tests whether lying on the left or right side helps improve lung function in adults who developed ARDS after abdominal surgery, using a bedside imaging test to watch ventilation and blood flow while changing positions.

  Recruiting Ruijin Hospital · Shanghai · NCT07669558

• Single-dose IV magnesium sulfate to reduce pain after laparoscopic gallbladder removal

  We will try a single IV dose of magnesium sulfate to see if adults having elective laparoscopic gallbladder removal need less morphine after surgery.

  Recruiting at 2 sites Phase 4 Tata Main Hospital · Jamshedpur, Jharkhand and 1 other locations · NCT07328893

• Comparing IV methadone versus IV remifentanil for pain and recovery after craniotomy

  This trial will test whether a single dose of IV methadone given during surgery provides better pain control and recovery than IV remifentanil for adults having supratentorial craniotomy.

  Recruiting Early Phase 1 University of Virginia · Charlottesville, Virginia · NCT06810336

• Assessing cognitive and neurophysiological outcomes after open heart surgery

  This study looks at how open heart surgery affects thinking and brain function in patients, using special tests to see if their brain activity before surgery can predict how well they will think afterward.

  Recruiting Ain Shams University · Cairo · NCT06707454

• Comparing blood transfusion strategies in younger patients undergoing heart surgery

  This study tests which blood transfusion method works better for younger patients having heart surgery to help them recover more smoothly and avoid complications.

  Recruiting at 47 sites Unity Health Toronto · Portland, Maine and 53 other locations · NCT04754022

How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.